Individual
DR. SARA ROSE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1124 S STATE ST, BIG RAPIDS, MI 49307-2256
(231) 591-2020
Mailing address
1124 S STATE ST, BIG RAPIDS, MI 49307-2256
(231) 591-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E47602
BLUE CROSS
MI
Enumeration date
07/21/2010
Last updated
02/19/2015
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