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Clarence Kusik
NPI 1245407550 · on the registry since 2008 · sole proprietor
Practice
- Address
- N50 W34838 Wisconsin Ave.
Okauchee, WI 53069 - Phone
- (262) 567-3171
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 261QD0000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin