Individual
MICHELLE BUSCH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
6200 SHINGLE CREEK PKWY, SUITE 260, BROOKLYN CENTER, MN 55430-2128
(763) 561-5349
Mailing address
7525 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1621
(303) 405-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1294831
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410386
MEDICA
MN
05
—
114220800
—
MN
01
—
1174537542
AMERICA'S PPO
MN
01
—
142822C028
UCARE
MN
01
—
410D6BU
BCBSMN
MN
01
—
960931032384
PREFERRED ONE
MN
01
—
HP37268
HEALTHPARTNERS
MN
Enumeration date
07/28/2006
Last updated
11/20/2025
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