Richard Bush, DO

NPI #1417972803 in Bayside, Wisconsin

Provider Information

NPI Number: 1417972803
Entity Type: Individual
Name: Richard Bush, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: DO
Enumeration Date: Jul 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 500 W BROWN DEER RD
Address 2: SUITE 202
City: Bayside
State: Wisconsin
ZIP Code: 53217-1618
Phone: (414) 434-0461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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