Individual
DR. WESTON CARL GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
412 WEST AVE, HOLDREGE, NE 68949-2223
(308) 991-2674
Mailing address
418 W 8TH AVE, HOLDREGE, NE 68949-1552
(308) 991-2674
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1960
NE
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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