MR. Joseph Scott Gustafson SR., LAC

NPI #1255452215 in New Richmond, Wisconsin

Provider Information

NPI Number: 1255452215
Entity Type: Individual
Name: MR. Joseph Scott Gustafson SR., LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Apr 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1475 HWY 65
Address 2: PAIN MANAGEMENT ACUPUNCTURE OF ST CROIX
City: New Richmond
State: Wisconsin
ZIP Code: 54017
Phone: (715) 425-2694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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