| Mr Stephen Charles Cushing, CRNA | |
|
1615 Maple Lane, Ashland, WI 54806 | |
| (715) 682-4563 | |
| (815) 685-5108 |
| Full Name | Mr Stephen Charles Cushing |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1615 Maple Lane, Ashland, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598729378 | NPI | - | NPPES |
| 43291500 | Medicaid | WI | |
| 4437860 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R1122657 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen Charles Cushing, CRNA Po Box 1547, Sedalia, MO 65302 Ph: (660) 826-5960 | Mr Stephen Charles Cushing, CRNA 1615 Maple Lane, Ashland, WI 54806 Ph: (715) 682-4563 |
Mr. Michael Andrew Peterson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-682-4563 Fax: 715-685-5108 | |
Thomas William Jorgensen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500 | |
Gregory Allen Zinke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500 | |
Ms. Suzanne M Ulmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-682-4563 | |
Mr. Shawn Douglas Brede, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-682-4563 Fax: 715-685-5108 |