Individual
DAVID GUSTAFSON
Active
Individual
DAVID GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
MD489263C
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.149829
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
08/21/2026
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