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Mr. Zachary R Gustavison, PA-C
Physician Assistant in Mount Vernon, Illinois
NPI 1316108970

Zachary R Gustavison is a Physician Assistant based in Lafayette, IL. Zachary R Gustavison practices in Mount Vernon, IL and has the professional credentials of PA-C. The NPI Number for Zachary R Gustavison is 1316108970 and holds a License No. 5601005286 (Illinois).

The current practice location address for Zachary R Gustavison is 605 N 12Th St, Mount Vernon, IL and can be reached out via phone at 586-263-2601. You can also correspond with Zachary R Gustavison through the mailing address at 200 CORPORATE BLVD, LAFAYETTE, LA - 70508-3870 (mailing address contact number: 800-893-9698).

Location: 605 N 12Th St, Mount Vernon, IL, 70508-3870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316108970
Provider Name
Zachary R Gustavison
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
605 N 12Th St, Mount Vernon, IL, 70508-3870
Phone Number
586-263-2601
Fax Number
Provider Enumeration Date
06/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
605 N 12Th St
City
Mount Vernon
State
Illinois
Zip
62864-2857
Phone Number
586-263-2601
Fax Number
person
Provider Business Mailing Address Details
Address
605 N 12Th St
City
Mount Vernon
State
Illinois
Zip
62864-2857
Phone Number
586-263-2601
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601005286 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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