Individual
GEORGE C BOBUSTUC
Active
Individual
GEORGE C BOBUSTUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
56643
WI
2084N0400X
Neurology Physician
Primary
036107297
IL
2084N0400X
Neurology Physician
56643
WI
2084N0400X
Neurology Physician
K8716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271397700
—
FL
Enumeration date
12/13/2005
Last updated
06/06/2022
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