Marcel L Gustin is a Medical in Scott Afb, Illinois. Marcel L Gustin practices all healthcare services and medical treatments related to Medical. The NPI Number for Marcel L Gustin is 1144217076. The last update date is 2010-05-28.
Marcel L Gustin's current location address is 310 W Losey St, Scott Afb, Illinois. You can contact this provider via phone number 6182567804. The mailing address for Marcel L Gustin is 310 W Losey St, Scott Afb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcel L Gustin |
|---|---|
| Address | 310 W Losey St, Scott Afb, Illinois |
| Phone Number | 6182567804 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1144217076 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2010-05-28 |
Provider Mailing Address Detail
| Address | 310 W Losey St |
|---|---|
| City | Scott Afb |
| State | Illinois (IL) |
| Post Code | 622255250 |
| Phone Number | 6182567804 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identification code assigned to Marcel L Gustin by the Centers for Medicare & Medicaid Services?
The Marcel L Gustin has been issued the NPI (National Provider Identifier) 1144217076. 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 Marcel L Gustin?
The Marcel L Gustin is physically situated at 310 W Losey St, in the city of Scott Afb, state of IL, with the postal code 622255250.
What is the Marcel L Gustin's specialty and taxonomy code?
The Marcel L Gustin's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144217076 to Marcel L Gustin?
The Centers for Medicare & Medicaid Services originally issued the 1144217076 to Marcel L Gustin on 2005-10-05.
When was the Marcel L Gustin's information last updated?
The Marcel L Gustin's information was last updated on 2010-05-28.