Individual
NICHOLAS I BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-4333
(541) 388-3446
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 706-5922
(541) 706-6869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420012193
VT
207RC0000X
Cardiovascular Disease Physician
65190-20
WI
207RI0011X
Interventional Cardiology Physician
65190-20
WI
207RI0011X
Interventional Cardiology Physician
Primary
MD191669
OR
208M00000X
Hospitalist Physician
0420012193
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2008
Last updated
05/19/2023
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