Individual
THOMAS PAUL GUSHURST
Active
Individual
THOMAS PAUL GUSHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
TG054920
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M92920002
MEDICARE
MI
01
—
0P56360002
MEDICARE 04/25/2008
MI
01
—
100C910690
BCBSM
MI
01
—
100C914640
BCBS 04/25/2008 AND AFTER
MI
01
—
101118
GREAT LAKES HEALTH PLAN
MI
05
—
1013972926
—
MI
05
—
104717140
—
MI
01
—
1417961137
BCBSM - BRONSON
MI
01
—
1851569958
NPI 04/25/2008 AND AFTER
MI
01
—
1912962838
NPI
MI
01
—
383309299136
CARESOURCE MEDICAID
MI
01
—
TG054920
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/20/2006
Last updated
12/12/2014
Update your record
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