Individual
DR. ROGER MATTHEW KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20276 MIDDLEBELT RD, SUITE 2, LIVONIA, MI 48152-2054
(248) 476-4900
(248) 476-5435
Mailing address
20276 MIDDLEBELT ROAD SUITE 2, LIVONIA, MI 48152-2054
(248) 476-4900
(248) 476-5435
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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