Individual
KELLY COLLEEN CUSHING-DAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7500 CHALLIS RD, 2ND FLOOR, BRIGHTON, MI 48116-9416
(810) 263-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301114466
MI
207RG0100X
Gastroenterology Physician
Primary
4301114466
MI
208D00000X
General Practice Physician
2013017117
MO
Other
Enumeration date
06/19/2010
Last updated
11/16/2023
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