Individual
MARYVIC CHERYL CUISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 739-9341
Mailing address
PO BOX 673397, DETROIT, MI 48267-3397
(866) 898-7139
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101010895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114735100
—
MI
05
—
2648516
—
MI
05
—
4839938
—
MI
05
—
4849200
—
MI
01
—
MC010895
BCBS
MI
Enumeration date
06/12/2006
Last updated
05/19/2008
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