Deidra L Bush
Deidra L Bush is a General Practice Physician in Chippewa Falls, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.
- Licensed in
- WI
- In the registry since
- 2026
Practice location Address checks out
475 Chippewa Mall DrChippewa Falls, WI 54729-5034
Phone: (715) 720-3780
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 304253-31 (WI) |
|---|
Record details
| NPI number | 1629925508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 11, 2026 |
| Last updated in NPPES | March 11, 2026 |
| Certification date | March 11, 2026 |
| Mailing address | 475 Chippewa Mall Dr, Chippewa Falls, WI 54729-5034 |