DR. Chad Ambrose Gustin, M.D.

NPI #1104086586 in Lawrence, Kansas

Provider Information

NPI Number: 1104086586
Entity Type: Individual
Name: DR. Chad Ambrose Gustin, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Jun 10, 2008
Last Updated: Mar 19, 2014

Practice Location

Address: 325 MAINE ST
City: Lawrence
State: Kansas
ZIP Code: 66044-1360
Phone: (785) 505-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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