Individual
KARIN ELIZABETH GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7354
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178533-030
WI
367A00000X
Advanced Practice Midwife
Primary
148938-32
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932472966
—
WI
Enumeration date
02/22/2012
Last updated
05/24/2022
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