Gustafson, John G

Gustafson, John G is an individual health care provider with primary practice located at 1722 Shaffer St Suite 1, Kalamazoo MI 49048-1633. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gustafson, John G can be contacted via phone (269) 381-3963.

Contact Information

Primary practice address
1722 Shaffer St Suite 1 Kalamazoo MI 49048-1633
Phone: (269) 381-3963
Fax: (269) 381-2809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301069176 Michigan
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 4301069176 Michigan

Profile Details

NPI number 1992777437
LBN Legal business name Gustafson, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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