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KEVIN WAYNE BUSDIECKER AA

Nursing Yellow Pages

Cleveland, Ohio

Provider NPI: 1528073004

Provider Information:
 KEVIN WAYNE BUSDIECKER AA


Practice Location:
2500 METRO HEALTH DRIVE  CLEVELAND, OH 44109 US
Tel: 216-778-5790  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
OH67-000036

Other Provider Identifiers:

IssuerNumberStateType
AETNA9724074OH01
ANTHEM000000515962OH01
RAILROAD MEDICARE430037559OH01
2739264OH05
WELLCARE MEDICAID414955OH01
UNISON000000232158OH01
BCMH0583328OH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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