Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT LEE GUSTAFSON, MD
ActiveBRENT LEE GUSTAFSON, MD is a Family Medicine healthcare provider located in MENOMONEE FALLS, Wisconsin. NPI 1841850997 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MENOMONEE FALLS, WI
Registration Details
- NPI Number
- 1841850997
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2019 (7.1705702485696 yrs)
- Last Updated
- Sep 7, 2023
- Licenses
-
4301504906 (MI)82122 (WI)
Practice Information
- Address
-
N84W16889 MENOMONEE AVEMENOMONEE FALLS, WI, 530512810Browse WI providers · Browse ZIP 53051
- Phone
- 2622517500
- Fax
- 2625321396
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MENOMONEE FALLS, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. JUNE CONSTANTZA MOLDVAN-JACOBS | MD | 1942207741 |
| ALICJA D LISAK | MD | 1295737823 |
| JENNIFER WEISGERBER | M.D. | 1073589826 |
| JEREMY D. TOPP | D.O. | 1104856996 |
| KAREN M HEGMANN | MD | 1447281852 |
| ROBERT L SCHWARZ | MD | 1699707877 |
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.