Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD BUSH, DO
ActiveSpecialist · BAYSIDE, WI
Registration Details
- NPI Number
- 1417972803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (19.794056198597 yrs)
- Last Updated
- Jul 8, 2007
- License
-
16612 (WV)
Practice Information
- Address
-
500 W BROWN DEER RDSUITE 202BAYSIDE, WI, 532171618Browse WI providers · Browse ZIP 53217
- Phone
- 4144340461
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BAYSIDE, WI
| Name | Credential | NPI |
|---|---|---|
| JUILE JOHNSON | MD | 1831240407 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.