TREVOR L BUSCH MD

PARK NICOLLET CLINIC

Dr TREVOR L BUSCH MD is a male medical professional, specializing in Family Medicine. He graduated in 1994 from University Of Iowa College Of Medicine.

Contact

PARK NICOLLET CLINIC

4670 PARK NICOLLET AVE SE
PRIOR LAKE
MN
553724119

Tel: 9529937750

TREVOR L BUSCH MD Information

Npi 1043297021
Pac Id 3577506039
Professional Enrollment Id I20050606000701
Last Name BUSCH
First Name TREVOR
Middle Name L
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF IOWA COLLEGE OF MEDICINE
Graduation Year 1994
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PARK NICOLLET CLINIC
Group Practice Pac Id 7911819438
Number Of Group Practice Members 1315
Line 1 Street Address 4670 PARK NICOLLET AVE SE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PRIOR LAKE
State MN
Zip Code 553724119
Phone Number 9529937750
Hospital Affiliation Ccn 1 240053
Hospital Affiliation Lbn 1 PARK NICOLLET METHODIST HOSPITAL
Hospital Affiliation Ccn 2 240104
Hospital Affiliation Lbn 2 ST FRANCIS REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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