Individual
GAIL GAUSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1612 S GOLF GLN UNIT A, MADISON, WI 53704-8459
(608) 250-9582
Mailing address
1612 S GOLF GLN UNIT A, MADISON, WI 53704-8459
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
763
WI
208D00000X
General Practice Physician
95815
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
763
WI
Other
Enumeration date
03/20/2006
Last updated
04/14/2026
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