Wayne R Busick O.D.

NPI 1083764971 - Optometrist - 152W00000X

NPI Details
NPI 1083764971
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
D400 WAUSAU CTR
WAUSAU WI, 54403-5508, US
Phone (715) 842-5224
Fax
Business Location
311 BIG SKY TRL
NEKOOSA WI, 54457-8054, US
Phone (715) 325-6080
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 1343
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According to our database, Wayne R Busick O.D. NPI is 1083764971, taxonomy code is 152W00000X and license number is 1343, license state is located at Wisconsin. Wayne R Busick O.D. physically located at D400 Wausau Ctr, Wausau WI, 54403-5508. NPI Number Wayne R Busick O.D. has the Individual type.

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1083764971 NPI number is provided on an as is basis without warranty of any kind. 1083764971 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne R Busick O.D. are for informational purposes only.