DR. Mark D. Gustafson, MD

NPI #1467439000 in Deer River, Minnesota

Provider Information

NPI Number
1467439000
Entity Type
Individual
Name
DR. Mark D. Gustafson, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Dec 26, 2005
Last Updated
Dec 21, 2017

Practice Location

Address
115 10TH AVE NE
ZIP Code
56636-8795
Phone
(218) 246-8275

Specialties & Taxonomy Codes

Specialty
Family Medicine

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