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Contact Information

JESSE M GUASCO, DO
909 FEE RD
EAST LANSING, MI48824
 Phone: 551-735-3307
 Fax: 517-432-3603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for JESSE M GUASCO · (Male)

NPI Number 1548521594
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/06/2012
Last updated 07/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101020051
  • MI Medicaid 1548521594
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER OF WEST MICHIGAN - (Acute Care)
    1 N ATKINSON DRIVE
    LUDINGTON, MI 49431
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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