DR. Kurt Gustavson, DPM

NPI #1225255086 in Lakewood, Washington

Provider Information

NPI Number: 1225255086
Entity Type: Individual
Name: DR. Kurt Gustavson, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Apr 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6216 WHISPER LN SW
City: Lakewood
State: Washington
ZIP Code: 98499-1139
Phone: (253) 968-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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