Individual
BRIAN CUMMISKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 UNITY PL STE 235, LAFAYETTE, IN 47905-5761
(765) 446-5065
(765) 446-5170
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
94-09838
KS
Other
Enumeration date
06/12/2019
Last updated
03/03/2025
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