Individual
STEVEN ALAN KUSHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3272 E 12 MILE RD STE 106, DEERFIELD MEADOWS, WARREN, MI 48092-5622
(586) 751-3650
(586) 757-3505
Mailing address
3272 E 12 MILE RD STE 106, DEERFIELD MEADOWS, WARREN, MI 48092-5622
(586) 751-3650
(586) 751-3505
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
SK008923
MI
225XH1200X
Hand Occupational Therapist
989940
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101660
GREAT LAKES HEALTH PLAN
MI
01
—
123081
PREFERRED CHOICES
MI
05
—
3014304 TYPE 11
—
MI
01
—
4242651
AETNA
MI
01
—
5630294
BLUE CARE NETWORK
MI
Enumeration date
12/22/2005
Last updated
08/19/2011
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