MEDICARE: ZACHARY ALEXANDER GUSLER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1710819768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY ALEXANDER GUSLER PA-C

Provider Business Mailing Address
First Line	:	321 FLYNTVALLEY CT
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27104-2637
Country	:	US
Telephone Number	:	336-514-2356
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 N CHURCH ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1007
Country	:	US
Telephone Number	:	336-207-7005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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