Individual
EMILY M BUSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5693 YMCA PARK DR W, FORT WAYNE, IN 46835-3280
(260) 425-6500
(260) 425-6505
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11017736A
IN
Other
Enumeration date
06/27/2014
Last updated
10/03/2022
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