Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JOSEPH CUSATIS, DDS
Active Sole ProprietorMICHAEL JOSEPH CUSATIS, DDS is a Oral & Maxillofacial Surgery healthcare provider located in GAYLORD, Michigan. NPI 1700805652 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GAYLORD, MI
Registration Details
- NPI Number
- 1700805652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (20.097203579546 yrs)
- Last Updated
- Nov 4, 2008
- License
-
D14500 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1507 S. OTSEGOSUITE BGAYLORD, MI, 49735Browse MI providers · Browse ZIP 49735
- Phone
- 9897324189
- Fax
- 9897321916
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.