Individual provider · Type 1 NPI

Deidra L. Bush

General Practice Physician · Chippewa Falls, WI

NPI number 1629925508 Active

Practice location

475 Chippewa Mall Dr
Chippewa Falls, WI 54729-5034

Call (715) 720-3780 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X304253-31 (WI)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

9 other providers at this address

About NPI 1629925508

Deidra L. Bush's National Provider Identifier is 1629925508, issued on Mar 11, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chippewa Falls, WI. The record was last updated on Mar 11, 2026.