IndividualActive
Amber Gustafson, PA
NPI 1063669778 · Medical Physician Assistant · Bark River, MI
Provider details
- NPI number
- 1063669778
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 5601005343 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2845 US 2 & 41
Suite 201
Bark River, MI 49807
Phone: (906) 466-2000
Fax: (906) 466-2067
Approximate (ZIP-level) locationGet directions
Mailing address
2845 US 2 & 41
Bark River, MI 49807
Registry dates
- Enumerated
- 2008-08-25
- Last updated
- 2014-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.