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Melinda Michelle Cusack, MD
Family Medicine Physician in Fort Wayne, Indiana
NPI 1932580909

Melinda Michelle Cusack is a Family Medicine Physician based in Fort Wayne, IN. Melinda Michelle Cusack practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Melinda Michelle Cusack is 1932580909 and holds a License No. 4301500878 (Indiana).

The current practice location address for Melinda Michelle Cusack is 12404 Lima Crossing Dr, Fort Wayne, IN and can be reached out via phone at 260-478-4201 and via fax at 260-458-3293. You can also correspond with Melinda Michelle Cusack through the mailing address at 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN - 46804-7934 (mailing address contact number: 260-478-4201).

Location: 12404 Lima Crossing Dr, Fort Wayne, IN, 46804-7934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932580909
Provider Name
Melinda Michelle Cusack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12404 Lima Crossing Dr, Fort Wayne, IN, 46804-7934
Phone Number
260-478-4201
Fax Number
260-458-3293
Provider Enumeration Date
06/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12404 Lima Crossing Dr
City
Fort Wayne
State
Indiana
Zip
46818-0202
Phone Number
260-478-4201
Fax Number
260-458-3293
person
Provider Business Mailing Address Details
Address
12404 Lima Crossing Dr
City
Fort Wayne
State
Indiana
Zip
46818-0202
Phone Number
260-478-4201
Fax Number
260-458-3293
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
11018213A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301500878 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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