BROOKE BUSH
Organization (NPI-2)
Active
Optometrist
Provider Information
- NPI Number
1679924419- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 18275 KENRICK AVE, LAKEVILLE, MN, 550447306
- Phone
- (507) 884-9474
Specialties & Taxonomies
Optometrist
Primary License: MN #3123