Individual
LAUREN GUASTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 916-3618
Mailing address
13771 WELLINGTON DR, STERLING HEIGHTS, MI 48313-3479
(586) 482-0178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007343
MI
Other
Enumeration date
06/03/2015
Last updated
03/14/2018
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