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Individual

DR. GENNADIY ALEKSANDROVICH BUSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-2005
(651) 254-1519
Mailing address
8170 33RD AVE, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-2005
(651) 254-1519

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
66173
MN
207X00000X
Orthopaedic Surgery Physician
74563
WI

Other

Enumeration date
06/13/2012
Last updated
12/12/2025
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