Individual
DIANE EMMA BUSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2418 BREWERY RD, CROSS PLAINS, WI 53528-9470
(608) 798-3344
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019039838
MO
207Q00000X
Family Medicine Physician
Primary
77118
WI
Other
Enumeration date
06/12/2019
Last updated
10/25/2022
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