Individual provider · Type 1 NPI

Jason L. Buseman

Plastic and Reconstructive Surgery Physician · St. Louis Park, MN

NPI number 1942456496 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Mailing address

8170 33rd Ave S, PO Box 1309 Mail Stop 21110Q
Minneapolis, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X69554 (GA)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1942456496

Jason L. Buseman's National Provider Identifier is 1942456496, issued on Aug 15, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 31, 2016.