Provider Demographics
NPI:1457309809
Name:BUSS, DANIEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:BUSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:
Practice Address - Street 1:8100 W 78TH ST
Practice Address - Street 2:SUITE 225
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2516
Practice Address - Country:US
Practice Address - Phone:952-946-9777
Practice Address - Fax:952-946-9888
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN33036207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0185738OtherDOLI WASHINGTON
MN23798OtherAMERICA'S PPO
MN00824018OtherPREFERRED ONE
MN302397400Medicaid
MN0901012OtherMEDICA
MN200033491OtherRAILROAD MEDICARE
MN107287OtherPATIENT CHOICE
MN128870OtherUCARE
MN0901012OtherSELECT CARE
MN60D45BUOtherBLUE CROSS/SHIELD
MNHP13002OtherHEALTHPARTNERS
MN0185738OtherDOLI WASHINGTON
MN302397400Medicaid