NPI 1255461547
Orland S Gustilo, MD
Practice location
- Address
- 3660 Rome Dr, Lafayette, IN 47905-4488
- Phone
- (765) 446-9394
- Fax
- (765) 447-8875
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1255461547
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Mar 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.