IndividualActive
Gregory Gustafson
NPI 1922068923 · Radiation Oncology Physician · Troy, MI
Provider details
- NPI number
- 1922068923
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301051606 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-3073
Approximate (ZIP-level) locationGet directions
Mailing address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.