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Individual

MATTHEW CUSICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
11367 CASTLETON CT, DEXTER, MI 48130-8432
(801) 652-3146
Mailing address
11367 CASTLETON CT, DEXTER, MI 48130-8432
(801) 652-3146

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary

Other

Enumeration date
12/05/2025
Last updated
12/05/2025
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