Individual
DR. PETER DONALD BUSSELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5775 WAYZATA BLVD., SUITE 190, SAINT LOUIS PARK, MN 55416-2627
(952) 541-1840
Mailing address
PO BOX 1450 NW 6035, MINNEAPOLIS, MN 55485-6035
(952) 542-8553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
56283
MN
2085R0202X
Diagnostic Radiology Physician
MT189143
PA
Other
Enumeration date
06/22/2007
Last updated
05/22/2013
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