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Individual

MARSHA LYNNE CUSHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
950 W WOOSTER ST, BOWLING GREEN, OH 43402-2603
(419) 354-9810
(419) 861-8982
Mailing address
934 CLUB LN, SUMTER, SC 29154-6106
(803) 934-8044

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.006687
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000526861
ANTHEM
OH
01
000000529311
ANTHEM
OH
05
2085907
OH
01
810547599082
CARESOURCE
OH
Enumeration date
04/17/2006
Last updated
01/23/2008
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