Individual provider · Type 1 NPI

Eric Gustafson, DPM

Foot & Ankle Surgery Podiatrist · Louisville, KY

NPI number 1316470255 Active

Practice location

6801 Dixie Hwy Ste 134
Louisville, KY 40258-3952

Fax (502) 449-0108

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X262794 (KY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1316470255

Eric Gustafson, DPM's National Provider Identifier is 1316470255, issued on Apr 7, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Louisville, KY. The record was last updated on Oct 7, 2021.