Brent Lee Gustafson, MD

NPI #1841850997 in Menomonee Falls, Wisconsin

Provider Information

NPI Number: 1841850997
Entity Type: Individual
Name: Brent Lee Gustafson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 19, 2019
Last Updated: Sep 7, 2023

Practice Location

Address: N84W16889 MENOMONEE AVE
City: Menomonee Falls
State: Wisconsin
ZIP Code: 53051-2810
Phone: (262) 251-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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