Individual
PAUL P BUSSE
Active
Individual
PAUL P BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34803
MO
2085R0202X
Diagnostic Radiology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006021895
IL BLUE
—
01
—
0360497781
IL CAID
—
01
—
1082742
MC MCAID
—
01
—
1390
MO BLUE
—
01
—
148419
H LINK
—
01
—
1609024
PH PLAN
—
01
—
25495
BLUE CHOICE
—
01
—
2781
GHP
—
01
—
300378
HLT PART
—
01
—
5493
HCARE USA
—
01
—
A12073
GATE WAY
—
01
—
L40183
IL CARE
—
Enumeration date
07/31/2006
Last updated
07/08/2007
Update your record
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