Organization
MARGARET E GUSTAFSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH KAY LUNDE (OFFICE MANAGER)
(231) 845-5992
Entity
Organization
Contact information
Practice address
5 N ATKINSON DR, SUITE 203, LUDINGTON, MI 49431-2918
(231) 845-5992
(231) 843-1931
Mailing address
5 N ATKINSON DR, SUITE 203, LUDINGTON, MI 49431-2918
(231) 845-5992
(231) 843-1931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MG040418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097699
—
MI
05
—
2748496
—
MI
Enumeration date
02/18/2008
Last updated
02/28/2011
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