Individual
MR. JOSEPH SCOTT GUSTAFSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1475 HWY 65, PAIN MANAGEMENT ACUPUNCTURE OF ST CROIX, NEW RICHMOND, WI 54017
(715) 425-2694
Mailing address
1940 PIKA TRAIL, UNIT A, RIVER FALLS, WI 54022
(715) 425-2694
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1367
MN
171100000X
Acupuncturist
Primary
473055
WI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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