# ANNIE MARLENE RILEY-BUSSEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609885698
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2009-01358 | NC | Yes |
| 207Q00000X | Family Medicine Physician | 4301070450 | MI | — |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 04/07/2026

## 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 |