Provider Demographics
NPI:1881838175
Name:CUTSHALL, CHAD A (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:A
Last Name:CUTSHALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE ST. SE, MMC 294
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA - DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-9990
Mailing Address - Fax:
Practice Address - Street 1:420 DELAWARE ST. SE, B-515 MAYO MEMORIAL BLDG
Practice Address - Street 2:UNIVERSITY OF MINNESOTA - DEPARTMENT OF ANESTHESIOLOGY
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-624-9990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN56295207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology