Individual
DR. STEPHEN M BUSCH
Active
Individual
DR. STEPHEN M BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0102037038
VA
207W00000X
Ophthalmology Physician
Primary
0102037038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG4658
MEDICARE R/R
VA
Enumeration date
03/28/2007
Last updated
02/01/2008
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