Individual
STEFAN ERIK GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
23961 CALLE DE LA MAGDALENA STE 119, LAGUNA HILLS, CA 92653-3616
(949) 837-5111
(949) 837-6111
Mailing address
33985 MANTA CT, DANA POINT, CA 92629-4507
(608) 528-8358
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT294525
CA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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