Individual
LYNETTE GUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
26200 FORD RD UNIT 95, DEARBORN HEIGHTS, MI 48127-4304
(248) 756-6025
(248) 458-4154
Mailing address
220 E ROSSER AVE UNIT 544, BISMARCK, ND 58502-6656
(248) 756-6025
(248) 458-4154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704218575
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI7661001
MEDICARE PTAN
MI
Enumeration date
12/01/2006
Last updated
04/14/2023
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