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Individual

BENJAMIN DANIEL BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
140 COLEMANS XING STE 200, MARYSVILLE, OH 43040-7080
(937) 578-4300
(937) 578-4311
Mailing address
140 COLEMANS XING STE 200, MARYSVILLE, OH 43040-7080
(937) 578-4300
(937) 578-4311

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.137457
OH
207Y00000X
Otolaryngology Physician
ME132660
FL

Other

Enumeration date
07/13/2012
Last updated
09/11/2019
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