Individual
DANIEL A CUSATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR., SUITE 300, SPRINGFIELD, OR 97477-8803
(541) 222-8333
(541) 222-8320
Mailing address
PEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR., SUITE 300, SPRINGFIELD, OR 97477-8803
(541) 222-8333
(541) 222-8320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD153434
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500634391
—
OR
Enumeration date
09/27/2006
Last updated
02/23/2024
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