Individual
LAURIE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-8943
Mailing address
944 BRIGHTON LAKE RD, BRIGHTON, MI 48116-1729
(810) 923-7008
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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