Eirik Gustafson

NPI #1790205144 in Moline, Illinois

Provider Information

NPI Number: 1790205144
Entity Type: Individual
Name: Eirik Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 26, 2017
Last Updated: Jun 26, 2017

Practice Location

Address: 4600 3RD ST
City: Moline
State: Illinois
ZIP Code: 61265-6106
Phone: (309) 779-2945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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