Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAXINE RAE GUSTAFSON, PA-C
ActiveMAXINE RAE GUSTAFSON, PA-C is a Physician Assistant healthcare provider located in EDINA, Minnesota. NPI 1083127203 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EDINA, MN
Registration Details
- NPI Number
- 1083127203
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2017 (8.7837433401697 yrs)
- Last Updated
- Nov 9, 2017
- License
-
12582 (MN)
Practice Information
- Address
-
6525 FRANCE AVE S STE 200EDINA, MN, 554352176Browse MN providers · Browse ZIP 55435
- Phone
- 9529276501
- Fax
- 9526531433
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in EDINA, MN
| Name | Credential | NPI |
|---|---|---|
| MR. MATTHEW C HAWKINS | P.A.-C. | 1043293673 |
| MRS. KARI K LARSON | PA-C | 1972588879 |
| MS. CHERYL LYNN OELTJENBRUNS | PAC | 1194701102 |
| LARRY NILSSON | PA-C | 1033197595 |
| STEVEN B VANDONSELAAR | PA-C | 1659345783 |
| MS. BRENDA JOY BAKER | P.A.C | 1417922873 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.