Individual
DR. ANN M. BUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 W CENTRE AVE, PORTAGE, MI 49024-4666
(269) 324-8950
(269) 324-2134
Mailing address
601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01067729A
IN
207Q00000X
Family Medicine Physician
2005013260
MO
207Q00000X
Family Medicine Physician
Primary
4301508200
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200979440
—
IN
05
—
207371907
—
MO
Enumeration date
11/20/2006
Last updated
09/26/2023
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