person
Michael M. Bush, PA-C
Surgical Physician Assistant in Kalamazoo, Michigan
NPI 1518290345

Michael M. Bush is a Surgical Physician Assistant based in Kalamazoo, MI and is specialized in Surgical. Michael M. Bush practices in Kalamazoo, MI and has the professional credentials of PA-C. The NPI Number for Michael M. Bush is 1518290345 and holds a License No. 5601005629 (Michigan).

The current practice location address for Michael M. Bush is 601 John St, Kalamazoo, MI and can be reached out via phone at 269-349-7696 and via fax at 269-488-8313.

Location: 601 John St, Kalamazoo, MI, 49007-5341
person
Provider Profile Details
NPI Number
1518290345
Provider Name
Michael M. Bush
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
601 John St, Kalamazoo, MI, 49007-5341
Phone Number
269-349-7696
Fax Number
269-488-8313
Provider Enumeration Date
09/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5390078 01 MI BCBS
5601005629 01 MI PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
601 John St
City
State
Zip
49007-5341
Phone Number
269-349-7696
Fax Number
269-488-8313
person
Provider Business Mailing Address Details
Address
601 John St
City
State
Zip
49007-5341
Phone Number
269-349-7696
Fax Number
269-488-8313
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601005629 (Michigan)
Definition
Definition to come...
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