Individual provider · Type 1 NPI
Amber Joy Gustafson, PA
Medical Physician Assistant · Bark River, MI
NPI number
1063669778
Active
Practice location
2845 US 2 & 41, Suite 201
Bark River, MI 49807
Fax (906) 466-2067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601005343 (MI) |
Medical Physician Assistant: Definition to come...
About NPI 1063669778
Amber Joy Gustafson, PA's National Provider Identifier is 1063669778, issued on Aug 25, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bark River, MI. The record was last updated on Mar 6, 2014.