Individual
TONYA GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 225-9835
(906) 225-7282
Mailing address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 225-9835
(906) 225-7282
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704309949
MI
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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