Individual provider · Type 1 NPI
Peter Donald Busselberg, MD
Diagnostic Radiology Physician · St. Louis Park, MN
NPI number
1558567974
Active
Practice location
5775 Wayzata Blvd., Suite 190
St. Louis Park, MN 55416-2627
Mailing address
PO Box 1450 NW 6035
Minneapolis, MN 55485-6035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MT189143 (PA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 56283 (MN) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2 other providers at this address
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About NPI 1558567974
Peter Donald Busselberg, MD's National Provider Identifier is 1558567974, issued on Jun 22, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis Park, MN. The record was last updated on May 22, 2013.