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Richard Bush, DO
Specialist in Bayside, Wisconsin
NPI 1417972803

Richard Bush is a Specialist based in Bayside, WI. Richard Bush practices in Bayside, WI and has the professional credentials of DO. The NPI Number for Richard Bush is 1417972803 and holds a License No. 16612 (Wisconsin).

The current practice location address for Richard Bush is 500 W Brown Deer Rd, Bayside, WI and can be reached out via phone at 414-434-0461.

Location: 500 W Brown Deer Rd, Bayside, WI, 53217-1618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417972803
Provider Name
Richard Bush
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
500 W Brown Deer Rd, Bayside, WI, 53217-1618
Phone Number
414-434-0461
Fax Number
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 W Brown Deer Rd
City
Bayside
State
Wisconsin
Zip
53217-1618
Phone Number
414-434-0461
Fax Number
person
Provider Business Mailing Address Details
Address
500 W Brown Deer Rd
City
Bayside
State
Wisconsin
Zip
53217-1618
Phone Number
414-434-0461
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
16612 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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