Individual
DR. DANIELLE R BUSSE-QUENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
265 GRIFFIN ST E, ARMC, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37864021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124794
MEDICA PROVIDER NUMB
—
01
—
1016661
PREFERRED ONE
—
01
—
102691
SECURITY HEALTH PLAN
—
01
—
312P88U
BLUE CROSS BLUE SHIE
—
01
—
32289900
GROUP HEALTH OF EAU
—
05
—
32289900
—
WI
01
—
390908320
STANDARD TAX ID NUMB
—
01
—
G36301
AMERICA'S PPO
—
01
—
HP60877
HEALTH PARTNERS
—
01
—
P00341824
PALMETTO GBA RR ME
—
Enumeration date
04/27/2006
Last updated
01/28/2019
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