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Individual

CALVERT RAYMOND BUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1380 E STROOP RD, KETTERING, OH 45429-4926
(937) 293-3486
(937) 293-3605
Mailing address
1380 E STROOP RD, KETTERING, OH 45429-4926
(937) 293-3486
(937) 293-3605

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35043378
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000039027
ANTHEM
OH
05
0398181
OH
01
060053779
RR MEDICARE
OH
01
2153717
AETNA
OH
01
2501766
UNITED HEALTHCARE
OH
Enumeration date
11/29/2005
Last updated
04/09/2018
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