Individual
EDUARDO ALEJANDRO BUSTAMANTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PO BOX 1520, WOODRUFF, WI 54568-1520
(715) 356-2262
(715) 356-2257
Mailing address
PO BOX 1520, WOODRUFF, WI 54568-1520
(715) 356-2262
(715) 356-2257
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
83664-20
WI
207W00000X
Ophthalmology Physician
ME144452
FL
Other
Enumeration date
01/23/2015
Last updated
06/21/2024
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