Individual
JAMES P GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 VIRGINIA TER, MADISON, WI 53726-5347
(608) 445-6503
Mailing address
509 VIRGINIA TER, MADISON, WI 53726-5347
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18452
WI
Other
Enumeration date
02/28/2006
Last updated
01/12/2022
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