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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMBER JOY GUSTAFSON, PA

Active

AMBER JOY GUSTAFSON, PA is a Medical Physician Assistant healthcare provider located in BARK RIVER, Michigan. NPI 1063669778 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BARK RIVER, MI

Registration Details

NPI Number
1063669778
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2008 (17.98747857622 yrs)
Last Updated
Mar 6, 2014
License
5601005343 (MI)

Practice Information

Address
2845 US 2 & 41
SUITE 201
BARK RIVER, MI, 49807
Browse MI providers · Browse ZIP 49807
Phone
9064662000
Fax
9064662067
Primary Specialty
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.