SearchWisconsin376K00000X

Chanel Bush

NPI 1992574248 · on the registry since 2023

Practice

Address
5757 N 36th St
Milwaukee, WI 53209
Phone
(346) 450-4784

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-28

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