Individual
BRIAN E BUESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4111 N. ILLINOIS STREET, SUITE C, SWANSEA, IL 62226
(618) 235-0700
Mailing address
7 EMERALD TER, SWANSEA, IL 62226-2321
(618) 235-0700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010081
IL
Other
Enumeration date
08/20/2006
Last updated
12/20/2019
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