Individual
S. MARSHALL CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3805B SPRING ST STE 320, RACINE, WI 53405-1644
(262) 687-8322
Mailing address
3831 LIGHTHOUSE DRIVE, RACINE, WI 53402
(262) 639-8925
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
14010
WI
Other
Enumeration date
09/21/2006
Last updated
04/01/2009
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