Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARCUS MICHAEL GUSTAFSON, DDS
ActiveDR. MARCUS MICHAEL GUSTAFSON, DDS is a Dentist healthcare provider located in LAKELAND, Minnesota. NPI 1164489654 is currently active in the NPPES registry. Verify at CMS.
Dentist · LAKELAND, MN
Registration Details
- NPI Number
- 1164489654
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.124208617556 yrs)
- Last Updated
- Oct 23, 2015
- License
-
D8384 (MN)
Practice Information
- Address
-
16678 7TH ST SLAKELAND, MN, 550439531Browse MN providers · Browse ZIP 55043
- Phone
- 6128676177
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LAKELAND, MN
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN EDWARD SWEENEY | DDS | 1265499743 |
| OLUWADAMILOLA OMODELE AJAGBE | DDS | 1164945150 |
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.