Jason L Buseman
Jason L Buseman is a Plastic and Reconstructive Surgery in St Louis Park, Minnesota. Qualified in 2006, 20 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 20
- Licensed in
- GA
- In the registry since
- 2008
Practice location Address checks out
3800 Park Nicollet BlvdSt Louis Park, MN 55416-2527
Phone: (952) 883-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence 69554 (GA) |
|---|
Record details
| NPI number | 1942456496 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 15, 2008 |
| Last updated in NPPES | March 31, 2016 |
| Mailing address | 8170 33rd Ave S, Po Box 1309 Mail Stop 21110q, Minneapolis, MN 55425-4516 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Park Nicollet Clinic — 1773 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |