Individual
ROBERT LAWRENCE GUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 SOUTH BLVD W, ROCHESTER HILLS, MI 48309-3973
(248) 852-7800
Mailing address
3941 LONG MEADOW LN, LAKE ORION, MI 48359-1465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003825
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508058363
—
MI
Enumeration date
03/07/2018
Last updated
03/07/2018
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