person
Dr. Gustav Jaliang Lo, MD
General Practice Physician in Petoskey, Michigan
NPI 1568519635

Gustav Jaliang Lo is a General Practice Physician based in Petoskey, MI. Gustav Jaliang Lo practices in Petoskey, MI and has the professional credentials of MD. The NPI Number for Gustav Jaliang Lo is 1568519635 and holds a License No. 4301053321 (Michigan).

The current practice location address for Gustav Jaliang Lo is 116 W Mitchell St, Petoskey, MI and can be reached out via phone at 231-348-2828 and via fax at 231-348-9609.

Location: 116 W Mitchell St, Petoskey, MI, 49770-2324
person
Provider Profile Details
NPI Number
1568519635
Provider Name
Gustav Jaliang Lo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
116 W Mitchell St, Petoskey, MI, 49770-2324
Phone Number
231-348-2828
Fax Number
231-348-9609
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
116 W Mitchell St
City
State
Zip
49770-2324
Phone Number
231-348-2828
Fax Number
231-348-9609
person
Provider Business Mailing Address Details
Address
116 W Mitchell St
City
State
Zip
49770-2324
Phone Number
231-348-2828
Fax Number
231-348-9609
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301053321 (Michigan)
Definition
Definition to come...
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