Individual
MEGAN A KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
752 N HIGH POINT RD, DEAN MEDICAL CENTER, MADISON, WI 53717-2236
(608) 824-4800
(608) 824-4910
Mailing address
752 N HIGH POINT RD, DEAN MEDICAL CENTER, MADISON, WI 53717-2236
(608) 824-4800
(608) 824-4910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1617
WI
363AM0700X
Medical Physician Assistant
1617-023
WI
363AS0400X
Surgical Physician Assistant
1617-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720046030
—
WI
Enumeration date
05/03/2006
Last updated
12/04/2020
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