Dana Gustafson, DPM

NPI #1407352289 in Maywood, Illinois

Provider Information

NPI Number: 1407352289
Entity Type: Individual
Name: Dana Gustafson, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Apr 2, 2018
Last Updated: Jul 24, 2018

Practice Location

Address: 2160 S 1ST AVE
City: Maywood
State: Illinois
ZIP Code: 60153-3328
Phone: (708) 216-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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