Individual
KATIE C BUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122
(701) 234-6258
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R30651
ND
Other
Enumeration date
09/30/2008
Last updated
09/04/2018
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