Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Lee Buban

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215888904

Mitchell Lee Buban is a Student in an Organized Health Care Education/Training Program in Kenosha, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

7612 46th Ave
Kenosha, WI 53142-4272
Phone: (262) 577-4680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1215888904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 7, 2026
Last updated in NPPESFebruary 7, 2026
Certification dateFebruary 7, 2026
Mailing address7612 46th Ave, Kenosha, WI 53142-4272

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