Individual
MEGAN M GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
942 WESTBROOKE WAY, #5, HOPKINS, MN 55343-8025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R175124-8
MN
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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