Individual
DR. ROBERT WILLIAM GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
625 2ND ST, TRAVERSE CITY, MI 49684-2220
(231) 922-5060
(231) 922-5062
Mailing address
625 2ND ST, TRAVERSE CITY, MI 49684-2220
(231) 922-5060
(231) 922-5062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B85444
BCBS OF MI
MI
05
—
3085520
—
MI
01
—
P87962
BLUE CARE NETWORK
MI
Enumeration date
06/09/2005
Last updated
07/25/2011
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