Individual
MRS. SANDRA C BUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN C
Contact information
Practice address
536 S ILLINOIS AVE, GAYLORD, MI 49735-1752
(989) 731-0658
(989) 731-0681
Mailing address
536 S ILLINOIS AVE, GAYLORD, MI 49735-1752
(989) 731-0658
(989) 731-0681
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4704158582
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4688270 10
—
MI
01
—
5008765110
BC BC
—
Enumeration date
01/31/2006
Last updated
08/30/2012
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