ALICIA GUSTAFSON, D.O.
Internal Medicine - Sports Medicine
Active
Individual
NPI: 1417210790
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | No | S9140 (TX) |
| Family Medicine - Sports Medicine | 207QS0010X | No | S9140 (TX) |
| Internal Medicine - Sports Medicine | 207RS0010X | Yes | 75542 (MN) |
Frequently Asked Questions
NPI 1417210790 is the National Provider Identifier for ALICIA GUSTAFSON, D.O., a Internal Medicine - Sports Medicine provider located in Bloomington, MN. This NPI was enumerated on June 21, 2012.
ALICIA GUSTAFSON, D.O. practices at 8100 NORTHLAND DR, Bloomington, MN 55431.
Quick Facts
- NPI
- 1417210790
- Type
- Individual
- Enumerated
- Jun 21, 2012
- Last Updated
- May 10, 2024
Nearby Providers
-
DR. MICHAEL BAWEK, D.C.
Chiropractor
-
DR. DAVID FISCHER, M.D.
Specialist
-
MARY HANSON, CRNA
Nurse Anesthetist, Certified Registered
-
FRANK BANFIELD, M.D.
Pediatrics
-
DEBORAH OSGOOD, PA-C
Physician Assistant