Individual
DR. MICHAEL E BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3017 WEST AVE., BURLINGTON, IA 52601
(319) 752-1400
(319) 752-1401
Mailing address
3017 WEST AVE., BURLINGTON, IA 52601
(319) 752-1400
(319) 752-1401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02028
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129478
—
IA
Enumeration date
05/16/2006
Last updated
06/18/2012
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