Individual
CHRISTOPHER BUSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301508689
MI
207LP3000X
Pediatric Anesthesiology Physician
4301508689
MI
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD049006
DC
Other
Enumeration date
03/20/2017
Last updated
05/01/2023
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