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Mary Bush

NPI 1235303975 · on the registry since 2008

Practice

Address
5194 Nth Tuetonia Ave
Milw, WI 53209
Phone
(414) 212-8985
Fax
(414) 212-8985

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
376G00000X
376K00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin