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Individual

DR. PETER MICHAEL GUSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
341 W CHURCH ST, ORRVILLE, OH 44667-1501
(330) 682-1276
(330) 682-7219
Mailing address
341 W CHURCH ST, ORRVILLE, OH 44667-1501
(330) 682-1276
(330) 682-7219

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3290/T867
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0337246
OH
Enumeration date
05/31/2005
Last updated
08/13/2013
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