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Henry M Busch Jr., MD

Surgery in Faribault, MN. Individual provider (NPI-1).

NPI number1649231069
StatusActive
Last updated in NPPESNov 10, 2020

Details

NPI
1649231069
Entity type
Individual (NPI-1)
Name
Henry M Busch Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2006
Certification date
Nov 10, 2020
Last updated
Nov 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery29528MNYes

Practice location

100 State Ave
Faribault, MN 55021-6337

Phone 507-334-3921 · Fax 507-332-5297

Mailing address

Po Box 43
Mr 10809
Minneapolis, MN 55440-0043

Phone 612-262-4813 · Fax 612-262-4194

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