Chad Gustafson

NPI #1689039521 in Red Wing, Minnesota

Provider Information

NPI Number: 1689039521
Entity Type: Individual
Name: Chad Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Dec 18, 2015
Last Updated: Dec 18, 2015

Practice Location

Address: 2695 PINE RIDGE BLVD
City: Red Wing
State: Minnesota
ZIP Code: 55066-3978
Phone: (612) 244-0894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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