Individual
DR. ROGER MATTHEW KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
5101006358
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110978
CARE CHOICES
MI
01
—
160H261380
BCBS/BCN
MI
01
—
4033701
AETNA
MI
05
—
4372550
—
MI
01
—
47523
OMNI
MI
01
—
E26610
HEALTH ALLIANCE PLAN
MI
Enumeration date
04/18/2006
Last updated
03/01/2018
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