Individual
MICHELLE R GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1135 W UNIVERSITY DR STE 425, ROCHESTER, MI 48307-1897
(248) 650-5864
(248) 650-5865
Mailing address
1135 W UNIVERSITY DR STE 425, ROCHESTER, MI 48307-1897
(248) 650-5864
(248) 650-5865
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8221
AZ
Other
Enumeration date
10/12/2015
Last updated
06/17/2022
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