Individual
DR. BRICKER B BUSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2500 REYNOLDS RD, JACKSON, MI 49201-9376
(517) 262-0318
Mailing address
2500 REYNOLDS RD, JACKSON, MI 49201-9376
(517) 262-0318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3336
MI
152W00000X
Optometrist
Primary
4901003336
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C876200
BCBS OF MI
MI
Enumeration date
01/09/2006
Last updated
12/13/2023
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