Individual provider · Type 1 NPI
Paul T. Gustafson, DO
Surgery Physician · Evanston, WY
Practice location
196 Arrowhead Dr, Ste 9
Evanston, WY 82930-8752
Mailing address
7100 Commerce Way, Suite 180
Brentwood, TN 37027-2829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | TL#656 (WY) |
| Surgery Physician | 208600000X | 2894 (IA) |
| Surgery Physician | 208600000X | 5101015864 (MI) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
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About NPI 1528033644
Paul T. Gustafson, DO's National Provider Identifier is 1528033644, issued on Feb 22, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Evanston, WY. The record was last updated on Apr 11, 2008.