Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNN K GUSTAFSON, DPM
ActivePodiatrist · MANKATO, MN
Registration Details
- NPI Number
- 1124006143
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2006 (20.27999133498 yrs)
- Last Updated
- Jul 10, 2020
- License
-
492 (MN)
Practice Information
- Address
-
1421 PREMIERE DRMANKATO CLINIC @ WICKERSHAM CAMPUSMANKATO, MN, 56001Browse MN providers · Browse ZIP 56001
- Phone
- 5076251811
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in MANKATO, MN
| Name | Credential | NPI |
|---|---|---|
| JAMES D NACK | DPM | 1689653685 |
| DR. JAMES SIDNEY SHAW | D.P.M. | 1417057084 |
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.