Katherine Marie Bussone, PA-C

NPI #1780995902 in Grandville, Michigan

Provider Information

NPI Number: 1780995902
Entity Type: Individual
Name: Katherine Marie Bussone, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 23, 2010
Last Updated: Feb 19, 2021

Practice Location

Address: 3185 MACATAWA DR SW
Address 2: SUITE A
City: Grandville
State: Michigan
ZIP Code: 49418-3184
Phone: (616) 391-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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