Basic Information
| Provider Information | |||||||||
| NPI: | 1346315637 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUEHNER | ||||||||
| FirstName: | MORGEN | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 FODEN RD. , WEST | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SO. PORTLAND | ||||||||
| State: | ME | ||||||||
| PostalCode: | 041063134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2078280361 | ||||||||
| FaxNumber: | 2078741483 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 FODEN RD., EAST | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SO. PORTLAND | ||||||||
| State: | ME | ||||||||
| PostalCode: | 041063134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2078741489 | ||||||||
| FaxNumber: | 2075238590 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 10/14/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 018088 | ME | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 30208706 | 05 | NH | MEDICAID | 434195199 | 05 | ME | MEDICAID |