Individual
MR. DANIEL JAMES GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1109 LOMBARDI AVE, GREEN BAY, WI 54304
(920) 499-6004
(920) 499-7959
Mailing address
1109 LOMBARDI AVE, GREEN BAY, WI 54304
(920) 499-6004
(920) 499-7959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15396-40
WI
Other
Enumeration date
08/28/2010
Last updated
06/29/2013
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