Individual
STEVEN D BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
PO BOX 657, SUITE 200, ST CHARLES, IL 60174-0657
(630) 897-6044
(630) 897-0180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036088552
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
61352
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088552
—
IL
Enumeration date
08/18/2006
Last updated
10/15/2018
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