Individual
FRED BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 N. LAFAYETTE BLVD., SOUTH BEND, IN 46601-1098
(574) 234-4176
(574) 234-1561
Mailing address
530 N. LAFAYETTE BLVD., SOUTH BEND, IN 46601-1098
(574) 234-4176
(574) 234-1561
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
01027737A
IN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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