Individual
DR. BRIAN CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 622-8600
Mailing address
4600 WESLEY AVE, STE N, CINCINNATI, OH 45212-2298
(513) 246-7800
(513) 246-7852
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2022048714
MO
207Y00000X
Otolaryngology Physician
35072971
OH
207Y00000X
Otolaryngology Physician
Primary
MD26424
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031349
—
OH
Enumeration date
05/23/2006
Last updated
01/24/2023
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