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Individual

ROBERT LEE GUSTITUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
50200 DENNIS CT, WIXOM, MI 48393-2021
(248) 229-5000
Mailing address
50200 DENNIS CT, WIXOM, MI 48393-2021
(248) 229-5000

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501020234

Other

Enumeration date
09/10/2021
Last updated
09/10/2021
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