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Individual

ALAN CARL GUSTAVSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
6430 STADIUM DR, KALAMAZOO, MI 49009-2016
(269) 375-5369
(269) 372-8920
Mailing address
211 E BANNISTER ST STE E, PLAINWELL, MI 49080-1372
(269) 685-9807
(269) 685-8536

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025698
MI

Other

Enumeration date
06/05/2012
Last updated
04/23/2018
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