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Contact Information

MICHELLE CUSIMANO
1906 BLAKE AVE
GLENWOOD SPRINGS, CO81601-4227
 Phone: 970-399-5412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MICHELLE CUSIMANO · (Female)

NPI # 1366393514
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2026
Last updated 02/04/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • CO License # 107353
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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