Individual
GINETTE VACHON BUSSCHOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY, ANN ARBOR, MI 48109-5301
(734) 936-6666
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN AROBR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301073820
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104435516
—
MI
05
—
4811024
—
MI
01
—
930124114
RR MEDICARE
MI
Enumeration date
07/04/2006
Last updated
03/05/2012
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