Individual
ROBERT J GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 HIGHWAY 12, ATTN: EVE, HETTINGER, ND 58639-7533
(701) 567-4561
Mailing address
1100 HIGHWAY 12, ATTN: EVE, HETTINGER, ND 58639-7533
(701) 567-4561
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13461
ND
208600000X
Surgery Physician
8010
SD
Other
Enumeration date
07/12/2006
Last updated
02/02/2016
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