Provider Demographics
NPI:1720063977
Name:KUSZ, HALINA G (MD)
Entity Type:Individual
Prefix:DR
First Name:HALINA
Middle Name:G
Last Name:KUSZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:810-342-1000
Mailing Address - Fax:810-342-1590
Practice Address - Street 1:G 3499 LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507
Practice Address - Country:US
Practice Address - Phone:810-720-3980
Practice Address - Fax:810-720-3970
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301065881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0250480OtherBLUE CROSS BLUE SHIELD
MI110B56125OtherBLUE CHOICE
MI110B56125OtherBLUE CARE NETWORK
MIC6874OtherMCARE
MI0987158OtherHEALTHPLUS
MI110B56125OtherBLUE CROSS BLUE SHIELD
MI110B56125OtherCOMMUNITY BLUE PPO
MI2597259003OtherCIGNA
MI4154088Medicaid
MI4267312Medicaid
MIH06856OtherHAP
MIH06856OtherHEALTH NET FEDERAL SERVIC
MI110B56125OtherCOMMUNITY BLUE PPO
MIH06856OtherHEALTH NET FEDERAL SERVIC