Individual provider · Type 1 NPI

Sandra Kudanding Kusin, MD

Student in an Organized Health Care Education/Training Program · Garden City, MI

NPI number 1104671668 Active

Practice location

6245 Inkster Rd
Garden City, MI 48135-4001

Call (734) 458-4486 Map

Fax (734) 458-4496

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104671668

Sandra Kudanding Kusin, MD's National Provider Identifier is 1104671668, issued on Apr 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Garden City, MI. The record was last updated on Apr 18, 2024.