Provider Demographics
NPI:1689764888
Name:LUSHINE, FRANK GERALD (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:GERALD
Last Name:LUSHINE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2545 CHICAGO AVE
Mailing Address - Street 2:STE 510
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4545
Mailing Address - Country:US
Mailing Address - Phone:612-863-5050
Mailing Address - Fax:612-863-5002
Practice Address - Street 1:2545 CHICAGO AVE
Practice Address - Street 2:STE 510
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4545
Practice Address - Country:US
Practice Address - Phone:612-863-5050
Practice Address - Fax:612-863-5002
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN20287207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A93886Medicare UPIN