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

PAUL T. GUSTAFSON, D.O.

Active

PAUL T. GUSTAFSON, D.O. is a General Surgery healthcare provider located in EVANSTON, Wyoming. NPI 1528033644 is currently active in the NPPES registry. Verify at CMS.

General Surgery · EVANSTON, WY

Registration Details

NPI Number
1528033644
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2006 (20.331002516202 yrs)
Last Updated
Apr 11, 2008
Licenses
TL#656 (WY)
2894 (IA)
5101015864 (MI)

Practice Information

Address
196 ARROWHEAD DR
STE 9
EVANSTON, WY, 829308752
Browse WY providers · Browse ZIP 82930
Phone
3077838280
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery
Additional Specialty
General Surgery

Other General Surgery Providers in EVANSTON, WY

Name Credential NPI
TADGE M KANJO M.D. 1710970058
DR. JARED BRECK BARTON M.D. 1144328949
DR. GREGORY M YASUDA MD 1841391349
IAN JAMES KENDRICK M.D. 1902126824
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.