Provider Demographics
NPI:1063405280
Name:BUEHRER, JEFFREY LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LYNN
Last Name:BUEHRER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 TYLER STREET
Mailing Address - Street 2:SUITE 351
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-3391
Mailing Address - Country:US
Mailing Address - Phone:419-621-7620
Mailing Address - Fax:419-621-7623
Practice Address - Street 1:703 TYLER STREET
Practice Address - Street 2:SUITE 351
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3391
Practice Address - Country:US
Practice Address - Phone:419-621-7620
Practice Address - Fax:419-621-7623
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069944B174400000X
OH350699442086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0289683Medicaid
OH0289683Medicaid
OHBU0798301Medicare ID - Type Unspecified