Individual
ALICIA GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
S9140
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
S9140
TX
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
75542
MN
Other
Enumeration date
06/21/2012
Last updated
05/10/2024
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