Individual
BRIAN JAMES COUSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3960 PATIENT CARE DR STE 108, LANSING, MI 48911-4276
(517) 485-8217
Mailing address
3960 PATIENT CARE DR STE 108, LANSING, MI 48911-4276
(517) 485-8217
(517) 489-4980
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5101019958
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2012
Last updated
08/14/2023
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