Dane Gustafson
NPI #1326755422 in Yellow Springs, Ohio
Provider Information
- NPI Number
- 1326755422
- Entity Type
- Individual
- Name
- Dane Gustafson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Oct 31, 2022
- Last Updated
- Oct 31, 2022
Practice Location
- Address
- 203 W SOUTH COLLEGE ST APT 2
- City
- Yellow Springs
- State
- Ohio
- ZIP Code
- 45387-1546
- Phone
- (937) 239-1882
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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