Gregory Gustafson in Troy - Radiation Oncology
Gregory Gustafson - NPI 1922068923
Gregory Gustafson is a Radiation Oncology in Troy, Michigan. Gregory Gustafson practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Gregory Gustafson is 1922068923. The last update date is 2020-10-21.
Gregory Gustafson's current location address is 44201 Dequindre Rd, Troy, Michigan. You can contact this provider via phone number 2489643073. The mailing address for Gregory Gustafson is 44201 Dequindre Rd, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Gustafson |
|---|---|
| Address | 44201 Dequindre Rd, Troy, Michigan |
| Phone Number | 2489643073 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922068923 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2020-10-21 |
Provider Mailing Address Detail
| Address | 44201 Dequindre Rd |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 480851117 |
| Phone Number | 2489643073 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | 4301051606 |
|
Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2766814 | MI | -- | |
| 320F362430 | MI | BCBSM |
Post Comment/ Review Below
What is the Gregory Gustafson's 1922068923?
The Gregory Gustafson's NPI (National Provider Identifier) Number is 1922068923. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gregory Gustafson's physical address?
The Gregory Gustafson is physically located at 44201 Dequindre Rd, in the city of Troy, MI, with the postal code 480851117.
What is the Gregory Gustafson's specialty and taxonomy code?
The Gregory Gustafson's specialty is Radiation Oncology, and the corresponding taxonomy code is 2085R0001X.
When was the Gregory Gustafson's 1922068923 issued?
The Gregory Gustafson's 1922068923 was issued on 2006-03-24.
When was the information regarding Gregory Gustafson most recently updated?
The details pertaining to the Gregory Gustafson, including its address, specialty, and other relevant information, were last refreshed on 2020-10-21.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC