Individual
MICHAEL RYAN BUSCEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1298
(315) 323-4664
Mailing address
6795 GRENOBLE DR APT G, CENTERVILLE, OH 45459-6083
(315) 323-4664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
313183
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0020616
OH
Other
Enumeration date
08/23/2021
Last updated
09/08/2022
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