George Andrew Boush, M.D. Valid NPI
Individual provider · Ophthalmology Physician · Watertown, WI
- NPI
- 1053314070
- Type
- Individual (Type 1)
- Primary specialty
- Ophthalmology Physician (Ophthalmology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207W00000X
- License number
- 31275-020 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-05-23
- Last updated
- 2012-06-28
Practice location
123 Hospital Dr, Suite 1002
Watertown, WI 53098-3331
(920) 261-8225