Marcel L. Gustin, PA-C
Physician Assistant · Scott Afb, IL
UnclaimedPA-CNPI 1144217076
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2005-10-05
- Practice location
- Scott Afb, IL
- Last NPPES update
- 2010-05-28
State licenses
- IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTExpiredthrough 2012
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.