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Individual

ANTON J BUESCHEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
6324
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08335584
MISSISSIPPI MEDICAID
MS
01
C76420
VIVA
AL
Enumeration date
06/08/2006
Last updated
07/08/2007
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