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Contact Information

HENRY M BUSCH JR, MD
100 STATE AVE
FARIBAULT, MN55021-6337
 Phone: 507-334-3921
 Fax: 507-332-5297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HENRY M BUSCH JR · (Male)

NPI Number 1649231069
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2006
Last updated 11/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 29528
  • MN Medicaid 788377300
Hospital affiliation(s)
  • DISTRICT ONE HOSPITAL - (Acute Care)
    200 STATE AVENUE
    FARIBAULT, MN 55021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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