Individual
TIMOTHY G BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1195 S DEER TRL, FREDERICKTOWN, MO 63645-7833
(573) 772-0949
Mailing address
1195 S DEER TRL, FREDERICKTOWN, MO 63645-7833
(573) 772-0949
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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