# SHARON M GUSTOWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285632133
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 1190 | NV | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 2023011924 | MO | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | L5358 | TX | — |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 08/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 284748501 | — | TX |
| 01 | — | 8CX870 | BCBS | TX |
| 01 | — | P00978115 | RAILROAD MEDICARE | TX |
