JOHN P CUSACK

LAFAYETTE, IN
NPI1144298233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01042414A)
Enumeration Date2006-03-14
Last Update Date2021-03-22
Business Address
JOHN P CUSACK MD
3554 PROMENADE PKWY SUITE F
LAFAYETTE, IN 47909-8418
Phone number: 765-477-2200
Mailing Address
JOHN P CUSACK MD
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-449-2732
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