Individual
MELISSA ANN KUSHLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4745 ARAPAHOE AVE STE 320, BOULDER, CO 80303-1082
(303) 441-0587
(303) 996-0801
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 441-0587
(303) 996-0801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15456
FL
Other
Enumeration date
05/17/2011
Last updated
09/29/2022
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