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Individual

ROBERT K BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-6180
(608) 263-9103
Mailing address
8007 EXCELSIOR DR, MADISON, WI 53717
(608) 829-5201

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
18365
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31039200
WI
Enumeration date
02/28/2006
Last updated
01/22/2008
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