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Individual

MICHAEL KUSHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
40 E INDIANOLA AVE, PHOENIX, AZ 85012-2019
(480) 660-5775
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010654
AZ
207Q00000X
Family Medicine Physician
6161277
ID
207Q00000X
Family Medicine Physician
OS20777
FL
208D00000X
General Practice Physician
Primary
010654
AZ
208D00000X
General Practice Physician
6161277
ID
208D00000X
General Practice Physician
OS20777
FL

Other

Enumeration date
03/24/2022
Last updated
01/28/2026
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