Margaret E Gustafson MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MG040418 Issued in MI

Legal business name

MARGARET E GUSTAFSON MD PC

Practice address

5 N Atkinson Dr
Suite 203
Ludington, MI 49431-2918

Phone

(231) 845-5992

Fax

(231) 843-1931

NPI assigned

Feb 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deborah Kay Lunde

Title

Office Manager

Phone

(231) 845-5992

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1568630101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N ATKINSON DR",
            "address_2": "SUITE 203",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312918",
            "telephone_number": "231-845-5992",
            "fax_number": "231-843-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N ATKINSON DR",
            "address_2": "SUITE 203",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312918",
            "telephone_number": "231-845-5992",
            "fax_number": "231-843-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET E GUSTAFSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "LUNDE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-845-5992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "MG040418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2748496",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097699",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Madsen, RN
• Stephen Joseph Manuszak, M.D.
• Kay Lynn Marble, LMSW, ACSW, CAC-R
• Marc E Keen, M.D. P.C. (Pathology Services of West Mi)
• Keith Marcus, MD
• Alma Lynne Martin, PH.D.
• Jason Richard Martin, D.D.S.
• Rachel A Martz, CHW
• Mary K O'Callaghan DO PC
• Alan L Mast, DPM

• Specialist in Ludington, MI
• Providers in Ludington, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.