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Individual

MS. MICHELLE MAXINE BUSSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
410 FOREST HOME DRIVE, FRANCIS CREEK, WI 54214-0126
(920) 360-6778
Mailing address
PO BOX 126, 410 FOREST HOME DRIVE, FRANCIS CREEK, WI 54214-0126
(920) 360-6778

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167695-30
WI

Other

Enumeration date
05/29/2009
Last updated
05/29/2009
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