Individual
DR. MICHAEL J. BUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
324 W SUPERIOR ST, SUITE 628, DULUTH, MN 55802-1701
(218) 722-7271
(218) 722-7271
Mailing address
324 W SUPERIOR ST, SUITE 628, DULUTH, MN 55802-1701
(218) 722-7271
(218) 722-7271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9268
MN
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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