Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA JO GUSTAFSON, ND
Active Sole ProprietorNaturopath · VIROQUA, WI
Registration Details
- NPI Number
- 1144068552
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2024 (1.8002098874499 yrs)
- Last Updated
- Jul 18, 2024
- License
-
6064-170 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 FS DR STE AVIROQUA, WI, 546652248Browse WI providers · Browse ZIP 54665
- Phone
- 6082142888
- Primary Specialty
-
Naturopath
175F00000X
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.