Alicia Gustafson, D.O.
NPI #1417210790 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1417210790
- Entity Type
- Individual
- Name
- Alicia Gustafson, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Sports Medicine
- Credential
- D.O.
- Enumeration Date
- Jun 21, 2012
- Last Updated
- May 10, 2024
Practice Location
- Address
- 8100 NORTHLAND DR
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-4800
- Phone
- (952) 831-8742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Sports Medicine — Sports Medicine |
| Internal Medicine - Sports Medicine — Sports Medicine |
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