Individual
DENNIS L BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 SE DESTINATION DRIVE, GRIMES, IA 50111-6608
(515) 986-4524
(515) 986-4531
Mailing address
101 SE DESTINATION DR, GRIMES, IA 50111-6608
(515) 986-4524
(515) 986-4531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3318
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063471399
—
IA
05
—
3188193
—
IA
Enumeration date
03/23/2006
Last updated
08/09/2012
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