Individual
DR. ROBERT A CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8200 DODGE STREET, CHILDRENS HOSPITAL - PEDIATRIC SURGERY, OMAHA, NE 68114-4113
(402) 955-7400
(402) 955-7405
Mailing address
8200 DODGE STREET, CHILDRENS HOSPITAL, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
21690
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01053
BCBS
NE
01
—
233164
MIDLANDS CHOICE
—
05
—
3543934
—
IA
Enumeration date
05/03/2006
Last updated
07/08/2007
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