Benny Kusuma, MD

NPI #1073734133 in La Crosse, Wisconsin

Provider Information

NPI Number: 1073734133
Entity Type: Individual
Name: Benny Kusuma, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 2, 2007
Last Updated: Feb 8, 2016

Practice Location

Address: 1836 SOUTH AVE
City: La Crosse
State: Wisconsin
ZIP Code: 54601-5429
Phone: (608) 782-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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