Individual
MARK LOUIS GOSTINE
Active
Individual
MARK LOUIS GOSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
4301041353
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070467
FIRST HEALTH
—
01
—
1492766
CIGNA
—
01
—
40982
AETNA
—
05
—
4552951-10
—
MI
05
—
4654209-10
—
MI
01
—
550410415
BLUE CROSS BLUE SHIELD
MI
01
—
7000027071
PRIORITY HEALTH
—
Enumeration date
03/30/2006
Last updated
05/04/2021
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