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Individual
MR. DALE RAY BUISMAN
Active
Individual
MR. DALE RAY BUISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NEONATAL NURSE PRACT
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
R1465136
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R-146513-6
MN
Other
Enumeration date
10/16/2006
Last updated
07/22/2010
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