Organization
STEVEN A KUSHNER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ALAN KUSHNER D.O. (PRESIDENT)
(248) 305-9614
Entity
Organization
Contact information
Practice address
3272 E 12 MILE RD. #106, DEERFIELD MEADOWS, WARREN, MI 48092-5436
(586) 751-3650
(586) 751-3505
Mailing address
3272 E 12 MILE RD. #106, DEERFIELD MEADOWS, WARREN, MI 48092-5436
(586) 751-3650
(586) 751-3505
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3014304 TYPE 11
—
MI
Enumeration date
12/21/2005
Last updated
08/22/2011
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