Individual
MRS. ELIZABETH CUSUMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
42621 GARFIELD RD STE 108, CLINTON TOWNSHIP, MI 48038-5031
(586) 263-3312
(586) 263-5311
Mailing address
42621 GARFIELD RD STE 108, CLINTON TOWNSHIP, MI 48038-5031
(586) 263-3312
(586) 263-5311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704259695
MI
Other
Enumeration date
10/21/2014
Last updated
12/03/2024
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