Individual
MR. THEODORE JOSEPH BUSELMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3960 COON RAPIDS BLVD NW, SUITE 116, COON RAPIDS, MN 55433-2569
(763) 427-8113
(763) 427-8131
Mailing address
3960 COON RAPIDS BLVD NW, SUITE 116, COON RAPIDS, MN 55433-2569
(763) 427-8113
(763) 427-8131
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17699
MN
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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