DR. Marcus Michael Gustafson, DDS

NPI #1164489654 in Lakeland, Minnesota

Provider Information

NPI Number
1164489654
Entity Type
Individual
Name
DR. Marcus Michael Gustafson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Apr 27, 2006
Last Updated
Oct 23, 2015

Practice Location

Address
16678 7TH ST S
ZIP Code
55043-9531
Phone
(612) 867-6177

Specialties & Taxonomy Codes

Specialty
Dentist

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