Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | SK008923 | MI |
N | 225XH1200X | Occupational Therapist - Hand | 989940 | MI |
NPI | 1164408985 |
---|---|
Provider Name | Steven Alan Kushner |
First Address | Warren, MI 48092-5622 |
Second Address | Warren, MI 48092-5622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 19/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101660 | GREAT LAKES HEALTH PLAN (01) | MI |
123081 | CARE CHOICES (01) | MI |
123081 | PREFERRED CHOICES (01) | MI |
123081 | PRIORITY HEALTH (01) | MI |
3014304 TYPE 11 | (05) | MI |
4242651 | AETNA (01) | MI |
5630294 | BLUE CARE NETWORK (01) | MI |
F06553 | (02) | MI |