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Individual
THOMAS F CUSHING
Active
Individual
THOMAS F CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011310
MI
363A00000X
Physician Assistant
MED-PAC-LIC-51613
MT
363AS0400X
Surgical Physician Assistant
MED-PAC-LIC-51613
MT
Other
Enumeration date
08/20/2016
Last updated
09/08/2026
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