Individual
DR. MIKHAIL KUSHNAREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 482-7800
(207) 482-7898
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.075014
IL
207L00000X
Anesthesiology Physician
Primary
MD27545
ME
207LP3000X
Pediatric Anesthesiology Physician
3013623
MA
Other
Enumeration date
07/19/2019
Last updated
05/31/2024
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