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Individual

DR. JOHN J BUSSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29041
WI
207W00000X
Ophthalmology Physician
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31385600
WI
Enumeration date
08/29/2006
Last updated
07/08/2007
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