Individual
MARISA BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6700 FRANCE AVE S, SUITE 300, EDINA, MN 55435-1902
(952) 345-3000
(952) 345-6789
Mailing address
6700 FRANCE AVE S, SUITE 300, EDINA, MN 55435-1902
(952) 345-3000
(952) 345-6789
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1457
ND
231H00000X
Audiologist
Primary
9586
MN
Other
Enumeration date
12/03/2015
Last updated
10/31/2016
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