Gustavison, David Kevin

Gustavison, David Kevin is an individual health care provider with primary practice located at 900 Cooper Ave Suite 4400, Saginaw MI 48602-5182. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gustavison, David Kevin can be contacted via phone (989) 583-4401.

Contact Information

Primary practice address
900 Cooper Ave Suite 4400 Saginaw MI 48602-5182
Phone: (989) 583-4401
Fax: (989) 583-4409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101010467 Michigan
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 5101010467 Michigan

Profile Details

NPI number 1467427682
LBN Legal business name Gustavison, David Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467427682 NPPES
Michigan MEDICAID 3508260

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