Gary S Gustafson in Sterling Heights - Radiation Oncology
Gary S Gustafson - NPI 1093775199
Gary S Gustafson is a Radiation Oncology in Sterling Heights, Michigan. Gary S Gustafson practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Gary S Gustafson is 1093775199. The last update date is 2015-02-12.
Gary S Gustafson's current location address is 44378 Dequindre Rd, Sterling Heights, Michigan. You can contact this provider via phone number 2489643070 and fax number 2489640057. The mailing address for Gary S Gustafson is 44378 Dequindre Rd, Sterling Heights, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary S Gustafson |
|---|---|
| Address | 44378 Dequindre Rd, Sterling Heights, Michigan |
| Phone Number | 2489643070 |
| Fax Number | 2489640057 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093775199 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2015-02-12 |
Provider Mailing Address Detail
| Address | 44378 Dequindre Rd |
|---|---|
| City | Sterling Heights |
| State | Michigan (MI) |
| Post Code | 483141003 |
| Phone Number | 2489643070 |
| Fax Number | 2489640057 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | 4301046424 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2588472 | MI | -- | |
| 320F362430 | MI | BCBSM |
Post Comment/ Review Below
What is the unique identification code assigned to Gary S Gustafson by the Centers for Medicare & Medicaid Services?
The Gary S Gustafson has been issued the NPI (National Provider Identifier) 1093775199. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gary S Gustafson?
The Gary S Gustafson is physically situated at 44378 Dequindre Rd, in the city of Sterling Heights, state of MI, with the postal code 483141003.
What is Gary S Gustafson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary S Gustafson's specialized field of practice is Radiation Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0001X.
On what date did Gary S Gustafson receive its 1093775199 assignment from the Centers for Medicare & Medicaid Services?
The Gary S Gustafson was assigned its 1093775199 on 2006-03-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Gary S Gustafson's information last updated?
The Gary S Gustafson's information was last updated on 2015-02-12.