Individual
SHARON L BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
126 E MILL ST, PLYMOUTH, WI 53073-1704
(920) 892-8920
Mailing address
126 E MILL ST, PLYMOUTH, WI 53073-1704
(920) 892-8920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2484-012
WI
Other
Enumeration date
09/20/2006
Last updated
05/12/2011
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