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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK CHARLES GUSTAFSON, DC.

Active Sole Proprietor

DR. MARK CHARLES GUSTAFSON, DC. is a Chiropractor healthcare provider located in BLOOMINGTON, Minnesota. NPI 1306919931 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · BLOOMINGTON, MN

Registration Details

NPI Number
1306919931
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2006 (19.700414029747 yrs)
Last Updated
Jul 8, 2007
License
2493 (MN)
Sole Proprietor
Yes

Practice Information

Address
3916 W 113TH ST
BLOOMINGTON, MN, 554373503
Browse MN providers · Browse ZIP 55437
Phone
6127093104
Fax
9528840852
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in BLOOMINGTON, MN

Name Credential NPI
DR. MICHAEL JOSEPH BAWEK D.C. 1043213218
DR. BRIAN S ELIJAH D.C. 1184621708
DR. CORY L EMBERLAND DC 1588650709
MARK PAPPENFUS DC 1467411264
MRS. KATIE MAE MURPHY DC 1073550018
DR. ALEKSANDR M GITERMAN D.C. 1992743819
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.