Individual
DR. REBECCA ANN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
105 NEW ENGLAND PL, SUITE 220, STILLWATER, MN 55082-5783
(651) 342-1043
(866) 462-6742
Mailing address
105 NEW ENGLAND PL, SUITE 220, STILLWATER, MN 55082-5783
(651) 342-1043
(866) 462-6742
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1011
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011
MN STATE MEDICAL BOARD
MN
Enumeration date
05/18/2007
Last updated
05/16/2014
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