Individual
DR. CARL E. BUSSMANN
Active
Individual
DR. CARL E. BUSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M,D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036117250
IL
207P00000X
Emergency Medicine Physician
R7913
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
R7913
MO
2086S0127X
Trauma Surgery Physician
R7913
MO
2086S0129X
Vascular Surgery Physician
R7913
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201656410
—
IL
05
—
201656410
—
MO
Enumeration date
08/18/2005
Last updated
06/26/2008
Update your record
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