Alice Marie Cusick
Internist Hematologist
1500 E Medical Center Drive B1 Floor Cancer Recp B
Ann Arbor
, Michigan 48109-5911
Alice Marie Cusick
Internist Hematologist
1500 E Medical Center Drive B1 Floor Cancer Recp B
Ann Arbor
, Michigan 48109-5911
(734) 647-5299
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About
Features
Specialties
- Internist
- Hematologist
Languages spoken
- English
Location
First Address
- Alice Marie Cusick
- 3621 S State St
- Ann Arbor, MI
- Zip : 48108
- Phone : (734) 647-5299
Second Address
- Alice Marie Cusick
- 1500 E Medical Center Drive B1 Floor Cancer Recp B
- Ann Arbor, MI
- Zip : 48109-5911
- Phone : (734) 647-8901
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301107789 | MI |
| N | 111NI0900X | Internist | 4301107789 | MI |
| Y | 207RH0000X | Hematologist | 4301107789 | MI |
| N | 207RH0000X | Hematologist | MD426993 | PA |
National Provider Identifier
| NPI | 1407824154 |
|---|---|
| Provider Name | Alice Marie Cusick |
| First Address | Ann Arbor, MI 48108 |
| Second Address | Ann Arbor, MI 48109-5911 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 07/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101381011 | (05) | PA |
| H82533 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.