Dr SHANNON KUSIAK is a female medical professional, specializing in Family Medicine. She graduated in 2008.
IHA HEALTH SERVICES CORPORATION
4940 W CLARK RD
YPSILANIT
MI
481970860
Tel: 7349711188
| Npi | 1346401601 |
| Pac Id | 7810165537 |
| Professional Enrollment Id | I20110725000715 |
| Last Name | KUSIAK |
| First Name | SHANNON |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | IHA HEALTH SERVICES CORPORATION |
| Group Practice Pac Id | 2466351440 |
| Number Of Group Practice Members | 619 |
| Line 1 Street Address | 4940 W CLARK RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | YPSILANIT |
| State | MI |
| Zip Code | 481970860 |
| Phone Number | 7349711188 |
| Hospital Affiliation Ccn 1 | 230156 |
| Hospital Affiliation Lbn 1 | ST JOSEPH MERCY HOSPITAL |
| Hospital Affiliation Ccn 2 | 230046 |
| Hospital Affiliation Lbn 2 | UNIVERSITY OF MICHIGAN HEALTH SYSTEM |
| Hospital Affiliation Ccn 3 | 230069 |
| Hospital Affiliation Lbn 3 | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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