Individual
MARSHALL EDWARD CUSIC JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5186
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5186
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
20239
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30405200
—
WI
Enumeration date
09/22/2006
Last updated
07/08/2007
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