| Doctor Name: | GILBERT BUCHOLZ |
| NPI Number: | 1487003737 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 34000993 |
| Business Practice Address: | 1200 Sycamore Line Sandusky, OH - 448704029 |
| Business Phone Number: | 4196562621 |
| Business Fax Number: | 4196256443 |
| Mailing Address: | 592 Monument Vw, MARBLEHEAD |
| State: | OH |
| Postal Code: | 434401245 |
| Phone Number: | 4193461525 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2016 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 34000993 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |