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Individual

DR. ANDREW BUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
701 PARK AVENUE SOUTH, HENNEPIN COUNTY MEDICAL CENTER, MINNEAPOLIS, MN 55415
(612) 873-3000
Mailing address
701 PARK AVE # S9-309, MINNEAPOLIS, MN 55415-1623
(612) 873-4051

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6124
MN
103T00000X
Psychologist
PS01265
RI

Other

Enumeration date
12/04/2012
Last updated
04/21/2017
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