Individual provider · Type 1 NPI

Gustav Jaliang Lo, MD

General Practice Physician · Petoskey, MI

NPI number 1568519635 Active

About NPI 1568519635

Gustav Jaliang Lo, MD's National Provider Identifier is 1568519635, issued on Jan 4, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Petoskey, MI. The record was last updated on Jun 10, 2011.