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Individual

BEN GUSLITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
820 LENORA ST UNIT 2010, SEATTLE, WA 98121-4059
(734) 649-4493
Mailing address
820 LENORA ST UNIT 2010, SEATTLE, WA 98121-4059
(734) 649-4493

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301058939
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
ME125863
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104434869
MI
Enumeration date
05/26/2006
Last updated
03/24/2021
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