Individual
MARY BUSSEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 S MILLS ST, MADISON, WI 53715-1849
(608) 251-6100
(608) 826-2710
Mailing address
707 S MILLS ST, MADISON, WI 53715-1849
(608) 251-6100
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
33470
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31848900
—
WI
Enumeration date
03/28/2006
Last updated
07/08/2007
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