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NPI Code Detail

MEDICARE: DR. RACHEL LEEANN BUSKO MD

MEDICARE: DR. RACHEL LEEANN BUSKO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician75000MN
2207R00000XInternal Medicine PhysicianRL15788ND

General Provider Information

NPI Number : 1629637624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHEL LEEANN BUSKO MD
Provider Business Mailing Address
First Line : 725 HAMLINE ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58203-2819
Country : US
Telephone Number : 701-780-6827
Fax Number :
Provider Business Practice Location Address
First Line : 725 HAMLINE ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58203-2819
Country : US
Telephone Number : 701-780-6827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2019
Last Update Date : 06/08/2026

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Directions to “ DR. RACHEL LEEANN BUSKO MD” Practice Location

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