Individual
MR. MICHAEL BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 SKYLARK DR, LOUISVILLE, KY 40223-2761
(502) 724-5320
Mailing address
811 SKYLARK DR, LOUISVILLE, KY 40223-2761
(502) 724-5320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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