Individual
HENRY M BUSCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 STATE AVE, FARIBAULT, MN 55021-6337
(507) 334-3921
(507) 332-5297
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29528
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788377300
—
MN
Enumeration date
03/28/2006
Last updated
11/10/2020
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