Individual
DAVID CUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8357 BLAISDELL AVE S, BLOOMINGTON, MN 55420-2220
(763) 234-3107
Mailing address
8357 BLAISDELL AVE S, BLOOMINGTON, MN 55420-2220
(763) 234-3107
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1199
MN
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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