Individual
JOSEPH FRANCIS KUSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3320 SHADY BEND, FORT MYERS, FL 33905
(239) 693-1655
(239) 693-1656
Mailing address
3320 SHADY BEND, FORT MYERS, FL 33905
(239) 693-1655
(239) 693-1656
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD018362E
PA
208200000X
Plastic Surgery Physician
Primary
ME 92208
FL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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