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Individual

SAMANTHA MARIE BUSZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 776-3020
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7584
(513) 686-6868

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01084725A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/25/2016
Last updated
08/16/2021
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