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Individual

DR. ROBERT L CUSIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
33 9TH ST W, DICKINSON, ND 58601-3950
(701) 483-6017
(701) 483-5018
Mailing address
629 10TH AVE W, DICKINSON, ND 58601-4750
(701) 483-8799

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4877
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14342
ND
Enumeration date
09/29/2005
Last updated
01/17/2013
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