Custer, Joseph R
Custer, Joseph R is an individual health care provider with primary practice located at 1500 East Medical Center Dr C.S. Mott Childrens Hospital 12Th Floor Room 525, Ann Arbor MI 48109-4280. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Custer, Joseph R can be contacted via phone (734) 763-5302.Contact Information
Primary practice address
1500 East Medical Center Dr C.S. Mott Childrens Hospital 12Th Floor Room 525
Ann Arbor MI 48109-4280
Phone: (734) 763-5302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301046871 | Michigan |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 4301046871 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 4301046871 | Michigan |
Profile Details
| NPI number | 1730195900 |
|---|---|
| LBN Legal business name | Custer, Joseph R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Sep 17th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730195900 | NPPES |
| Michigan | MEDICAID | 1500719 |
Popular Providers
-
Niedner, Matthew F
1500 E Medical Center Dr , Ann Arbor MI 48109-5000 -
Moler, Frank W
1500 E Medical Center Dr 12Th Floor C.S. Mott Childrens Hospital Room 525, Ann Arbor MI 48109-4280 -
Gorga, Stephen Michael
1500 E Medical Center Dr , Ann Arbor MI 48109-5000 -
Balasubramanian, Sowmya
1500 E Medical Center Dr 11Th Floor Cs Mott Childrens Hospital Room 661, Ann Arbor MI 48109 -
Flori, Heidi Rosanna
1500 E Medical Center Dr , Ann Arbor MI 48109-5000 -
Odetola, Folafoluwa Olutobi
1500 E Medical Center Dr , Ann Arbor MI 48109-5000 -
Barbaro, Ryan Pasquale
1500 E Medical Center Dr , Ann Arbor MI 48109-5000 -
Mikesell, Christine Elizabeth
1500 E Medical Center Dr , Ann Arbor MI 48109-5000