Individual
DR. JOSEPH F CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
18858
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000113N
HUMANA
—
05
—
1285685347
—
WI
05
—
30170900
—
WI
Enumeration date
05/13/2006
Last updated
12/17/2012
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