SHANE GUSTAFSON, DO
Family Medicine - Sports Medicine
Active
Individual
NPI: 1922017623
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine - Sports Medicine | 207QS0010X | Yes | 50252 (MN) |
Frequently Asked Questions
NPI 1922017623 is the National Provider Identifier for SHANE GUSTAFSON, DO, a Family Medicine - Sports Medicine provider located in Bloomington, MN. This NPI was enumerated on August 5, 2006.
SHANE GUSTAFSON, DO practices at 8100 NORTHLAND DR, Bloomington, MN 55431.
Quick Facts
- NPI
- 1922017623
- Type
- Individual
- Enumerated
- Aug 5, 2006
- Last Updated
- Jun 17, 2021
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