Lynn K Gustafson, DPM

NPI #1124006143 in Mankato, Minnesota

Provider Information

NPI Number: 1124006143
Entity Type: Individual
Name: Lynn K Gustafson, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jan 9, 2006
Last Updated: Jul 10, 2020

Practice Location

Address: 1421 PREMIERE DR
Address 2: MANKATO CLINIC @ WICKERSHAM CAMPUS
City: Mankato
State: Minnesota
ZIP Code: 56001
Phone: (507) 625-1811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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