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Individual

SUSAN E BUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN154810
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2540156
OH
01
P00190285
MEDICARE RAILROAD
OH
Enumeration date
08/16/2006
Last updated
01/28/2008
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