Individual
MICHELLE L BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 N 99TH ST, SUITE 107, WAUWATOSA, WI 53226-4339
(414) 874-4555
(414) 258-1214
Mailing address
601 N 99TH ST, SUITE 107, WAUWATOSA, WI 53226-4339
(414) 874-4555
(414) 258-1214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1554-033
WI
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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