Individual
MR. MARCEL L GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
375 MDG, SCOTT AFB, IL 62225
(618) 229-6088
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7804
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/05/2005
Last updated
05/28/2010
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