Trevor L Busch MD

NPI 1043297021 - Family Medicine - 207Q00000X

NPI Details
NPI 1043297021
Gender Male
Enumeration Date 12/29/2005
Last Updated 03/01/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1415 SAINT FRANCIS AVE
SHAKOPEE MN, 55379-3374, US
Phone (952) 993-7750
Fax
Business Location
3800 PARK NICOLLET BLVD
CREDENTIALING
ST LOUIS PARK MN, 55416-2527, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 37957
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According to our database, Dr. Trevor L Busch MD NPI is 1043297021, taxonomy code is 207Q00000X and license number is 37957, license state is located at Minnesota. Trevor L Busch MD physically located at 1415 Saint Francis Ave, Shakopee MN, 55379-3374. NPI Number Trevor L Busch MD has the Individual type.

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1043297021 NPI number is provided on an as is basis without warranty of any kind. 1043297021 is maintained by the National Plan & Provider Enumeration System. The contents of Trevor L Busch MD are for informational purposes only.