Individual
GUSTAVO P MOREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1711 S STEPHENSON AVE STE 315, IRON MOUNTAIN, MI 49801-3650
(906) 774-6257
(906) 774-6390
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-4602
(906) 225-4606
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
4301077187
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301989
—
MI
Enumeration date
07/02/2006
Last updated
11/17/2022
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