Individual
VERONA BUSSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(800) 967-4620
Mailing address
48742 166TH ST, GLENCOE, MN 55336-5264
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R-069904-2
MN
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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