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Gregory Gustafson
Radiation Oncology Physician in Troy, Michigan
NPI 1922068923

Gregory Gustafson is a Radiation Oncology Physician based in Royal Oak, MI and is specialized in Radiation Oncology. Gregory Gustafson practices in Troy, MI. The NPI Number for Gregory Gustafson is 1922068923 and holds a License No. 4301051606 (Michigan).

The current practice location address for Gregory Gustafson is 44201 Dequindre Rd, Troy, MI and can be reached out via phone at 248-964-3073. You can also correspond with Gregory Gustafson through the mailing address at 3601 W 13 MILE RD, ROYAL OAK, MI - 48073-6712 (mailing address contact number: ).

Location: 44201 Dequindre Rd, Troy, MI, 48073-6712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922068923
Provider Name
Gregory Gustafson
Credential
Provider Entity Type
Individual
Gender
Male
Address
44201 Dequindre Rd, Troy, MI, 48073-6712
Phone Number
248-964-3073
Fax Number
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2766814 05 MI
320F362430 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
44201 Dequindre Rd
City
Troy
State
Michigan
Zip
48085-1117
Phone Number
248-964-3073
Fax Number
person
Provider Business Mailing Address Details
Address
3601 W 13 Mile Rd
City
Royal Oak
State
Michigan
Zip
48073-6712
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
4301051606 (Michigan)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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