Individual
WAYNE R BUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
D400 WAUSAU CTR, WAUSAU, WI 54403-5508
(715) 842-5224
Mailing address
311 BIG SKY TRL, NEKOOSA, WI 54457-8054
(715) 325-6080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1343
WI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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