LYNN GUSTAFSON, DPM

Podiatrist

Active Individual
NPI: 1124006143

Practice Address

1421 PREMIERE DR
MANKATO CLINIC @ WICKERSHAM CAMPUS
Mankato, MN 56001

Phone: (507) 625-1811

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes 492 (MN)

Frequently Asked Questions

NPI 1124006143 is the National Provider Identifier for LYNN GUSTAFSON, DPM, a Podiatrist provider located in Mankato, MN. This NPI was enumerated on January 9, 2006.
LYNN GUSTAFSON, DPM practices at 1421 PREMIERE DR, MANKATO CLINIC @ WICKERSHAM CAMPUS, Mankato, MN 56001.

Quick Facts

NPI
1124006143
Type
Individual
Enumerated
Jan 9, 2006
Last Updated
Jul 10, 2020

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