Provider Demographics
NPI:1194756445
Name:BUSEMAN, MICHELLE MARIE (DC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIE
Last Name:BUSEMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:MARIE
Other - Last Name:SCHOCHENMAIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:830 E 41ST ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6028
Mailing Address - Country:US
Mailing Address - Phone:605-338-5511
Mailing Address - Fax:605-339-0265
Practice Address - Street 1:830 E 41ST ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6028
Practice Address - Country:US
Practice Address - Phone:605-338-5511
Practice Address - Fax:605-339-0265
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor