AMBER J GUSTAFSON, PA, Medical BARK RIVER, MI

Contact Information

AMBER J GUSTAFSON, PA

2845 US 2 & 41
SUITE 201
BARK RIVER, MI 49807

Phone: 906-466-2000
Fax: 906-466-2067
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for AMBER J GUSTAFSON · (Female)

NPI #	`1063669778`
Status	Active
Credentials	PA (Physician Assistant)
Entity	Individual
Enumeration date	08/25/2008
Last updated	03/06/2014 - About 12 years ago
Sole proprietor ¹	No
Identifiers	MI License # 5601005343 MI Other AG005343 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)	DICKINSON COUNTY MEMORIAL HOSPITAL - (Acute Care) 1721 S STEPHENSON AVE IRON MOUNTAIN, MI 49801 ST FRANCIS HOSPITAL - (Critical Access) 3401 LUDINGTON ST ESCANABA, MI 49829

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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AMBER J GUSTAFSON, PA – NPI #1063669778Medical

Contact Information

Specialty

Medical

NPI Profile & details for AMBER J GUSTAFSON · (Female)

Reviews for AMBER J GUSTAFSON

AMBER J GUSTAFSON, PA – NPI #1063669778
Medical