Individual
JAY DANIEL BUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2261
Mailing address
48699 BANFIELD AVENUE, DOLLAR BAY, MI 49922
(872) 237-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018067
MI
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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