THOMAS E GUSTAFSON

Dr THOMAS E GUSTAFSON is a male medical professional, specializing in Optometry. He graduated in 1989 from Ferris State College - College Of Optometry.

Contact

96W NORTHWEST HWY
PALATINE
IL
600673571

Tel:

THOMAS E GUSTAFSON Information

Npi 1164492096
Pac Id 6800076399
Professional Enrollment Id I20110216000426
Last Name GUSTAFSON
First Name THOMAS
Middle Name E
Suffix
Gender M
Credential
Medical School Name FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduation Year 1989
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 96W NORTHWEST HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PALATINE
State IL
Zip Code 600673571
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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