Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 16121 | WI |
NPI | 1881661486 |
---|---|
Provider Name | William W Busse |
First Address | Madison, WI 53705-4639 |
Second Address | Madison, WI 53705-4639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 22/07/2021 |