Richard D Kustasz in East Lansing - Family Medicine

Richard D Kustasz - NPI 1720175466

Richard D Kustasz is a Family Medicine in East Lansing, Michigan. Richard D Kustasz practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Richard D Kustasz is 1720175466. The last update date is 2021-06-07.

Richard D Kustasz's current location address is 463 East Circle Drive, East Lansing, Michigan. You can contact this provider via phone number 5178846546 and fax number 5174329460. The mailing address for Richard D Kustasz is 463 East Circle Drive, East Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard D Kustasz
Address 463 East Circle Drive, East Lansing, Michigan
Phone Number 5178846546
Fax Number 5174329460
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1720175466
Provider Enumeration Date 2006-10-06
Last Updated Date 2021-06-07

Provider Mailing Address Detail

Address 463 East Circle Drive
City East Lansing
State Michigan (MI)
Post Code 488241037
Phone Number 5178846546
Fax Number 5174329460

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 5101013047
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
114424862 MI --
383218134 MI TRICARE
1015065 MI MCLAREN
1720175466 MI --
2017 MI PRIORITY HEALTH PAY TO #
4424862 MI MOLINA
200000002259 MI PHPMM
700C460070 MI BCBS GROUP NUMBER

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FAQs about Richard D Kustasz

What is the unique identifier code issued to Richard D Kustasz by the Centers for Medicare & Medicaid Services?

The Richard D Kustasz has been assigned the NPI (National Provider Identifier) 1720175466. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Richard D Kustasz is located?

The Richard D Kustasz is situated at the following address: 463 East Circle Drive, East Lansing, MI, 488241037.

What is Richard D Kustasz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard D Kustasz is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did Richard D Kustasz receive its 1720175466 assignment from the Centers for Medicare & Medicaid Services?

The Richard D Kustasz was assigned its 1720175466 on 2006-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Richard D Kustasz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard D Kustasz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-06-07.

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