Provider Demographics
NPI:1851418107
Name:BUSCHUR, MICHAEL EVERETT (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EVERETT
Last Name:BUSCHUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5350 N MEADOWS DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2546
Mailing Address - Country:US
Mailing Address - Phone:614-224-2281
Mailing Address - Fax:614-221-8869
Practice Address - Street 1:5350 N MEADOWS DR
Practice Address - Street 2:SUITE 280
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2546
Practice Address - Country:US
Practice Address - Phone:614-224-2281
Practice Address - Fax:614-221-8869
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2014-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301087856207R00000X, 390200000X, 208M00000X
OH35-124981207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist