Individual provider · Type 1 NPI
Daniel Robert Gaustad, DC
Chiropractor · Minneapolis, MN
NPI number
1497828008
Active
Practice location
2736 Lyndale Ave S, Suite 210
Minneapolis, MN 55408-1309
Fax (612) 677-3368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4258 (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 1497828008
Daniel Robert Gaustad, DC's National Provider Identifier is 1497828008, issued on Nov 15, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 3, 2013.