GUSTAV J. LO M.D. – NPI #1568519635
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

GUSTAV LO is a physician located in PETOSKEY, MI. NPPES has assigned the NPI number 1568519635 to GUSTAV LO on January 04, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Jun 10, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GUSTAV LO below.

NPI Profile for
GUSTAV J. LO

NPI Number
1568519635
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GUSTAV J. LO
Credentials
M.D.
Primary location
116 W MITCHELL ST
PETOSKEY, MI 49770-2324
Phone: (231) 348-2828 Fax: (231) 348-9609
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
MI 4301053321

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.