Individual
GARY D EUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LP
Contact information
Practice address
302 E HOWARD ST, SUITE 309, HIBBING, MN 55746-1772
(218) 966-5385
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2919
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160553400
—
MN
Enumeration date
09/26/2006
Last updated
07/09/2014
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