Individual
CHASE WILLIAM GULSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 GREG KRUSCHEK AVENUE, NOME, AK 99762
(190) 744-3331
Mailing address
1000 CITY OF NOME DRIVE, BOX 1242, NOME, AK 99762
(808) 228-0886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
146077
AK
207Q00000X
Family Medicine Physician
Primary
185188
AK
Other
Enumeration date
03/30/2018
Last updated
09/25/2024
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