IndividualActive
Gary Gustafson, MD
NPI 1093775199 · Radiation Oncology Physician · Sterling Heights, MI
Provider details
- NPI number
- 1093775199
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301046424 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
44378 Dequindre Rd
Sterling Heights
Sterling Heights, MI 48314-1003
Phone: (248) 964-3070
Fax: (248) 964-0057
Approximate (ZIP-level) locationGet directions
Mailing address
44378 Dequindre Rd
Sterling Heights, MI 48314-1003
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2015-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.