Individual provider · Type 1 NPI
Mark Charles Gustafson, DC.
Chiropractor · Bloomington, MN
NPI number
1306919931
Active
Practice location
3916 W 113th St
Bloomington, MN 55437-3503
Fax (952) 884-0852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2493 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1306919931
Mark Charles Gustafson, DC.'s National Provider Identifier is 1306919931, issued on Nov 15, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomington, MN. The record was last updated on Jul 8, 2007.