Individual
DR. MARY ELIZABETH GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-4050
(715) 294-5690
Mailing address
13718 340TH ST, CENTER CITY, MN 55012-9652
(651) 470-8318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115719
MN
183500000X
Pharmacist
15851-40
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
115719
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
15851-40
WI
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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