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Individual
ANNIE MARLENE RILEY-BUSSEY
Active
Individual
ANNIE MARLENE RILEY-BUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-01358
NC
207Q00000X
Family Medicine Physician
4301070450
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104412146
—
MI
05
—
104412155
—
MI
05
—
104412164
—
MI
05
—
104412173
—
MA
05
—
104412182
—
MI
01
—
700H248710
BLUE CROSS GROUP NUMBER
MI
Enumeration date
08/07/2006
Last updated
04/07/2026
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