GARY S GUSTAFSON MD
NPI 1093775199
Radiology - Radiation Oncology in Sterling Heights, MI

Q: What is Gary Gustafson's NPI number?

The NPI number for Gary Gustafson is 1093775199. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Gary Gustafson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Gary Gustafson was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2006

44378 DEQUINDRE RD, STERLING HEIGHTS, STERLING HEIGHTS, MI 48314(248) 964-3070(248) 964-0057 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary S Gustafson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY S GUSTAFSON MD (NPI 1093775199) is an individual radiation oncology provider in Sterling Heights, Michigan, licensed in Michigan (4301046424) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1093775199

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameGARY S GUSTAFSONCredential: MD

Location Address44378 DEQUINDRE RD, STERLING HEIGHTSSterling Heights, MI 48314-1003

Mailing Address44378 Dequindre Rd, Sterling HeightsSterling Heights, MI 48314-1003 · (248) 964-3070 · Fax (248) 964-0057

Phone(248) 964-3070

Fax(248) 964-0057

Sole ProprietorNo

Enumeration DateMarch 24, 2006

Last NPPES UpdateFebruary 12, 2015

✔ NPI 1093775199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in MI · 4301046424

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

44378 DEQUINDRE RD, Sterling Heights, MI 48314

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Other Identifiers 4

Other320F362430MI · Bcbsm

Medicare ID-Type Unspecified0F36076009MI

Medicaid2588472MI

Medicare UPINA94290MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Gustafson's NPI number?

The NPI number for Gary Gustafson is 1093775199. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Gary Gustafson located?

Gary Gustafson practices at 44378 Dequindre Rd Sterling Heights, Sterling Heights, MI 48314. The listed phone number is (248) 964-3070.

What is Gary Gustafson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Gary Gustafson was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.