Individual
DR. JOSEPH F CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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