Organization · Type 2 NPI
Thomas C Gustafson
General Practice Physician · Seattle, WA
NPI number
1821213612
Active
Practice location
1717 NW Market St
Seattle, WA 98107-5225
Fax (206) 782-0502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | OP00001187 (WA) |
| Family Nurse Practitioner | 363LF0000X | AP30007148 (WA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
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About NPI 1821213612
Thomas C Gustafson's National Provider Identifier is 1821213612, issued on Apr 16, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Seattle, WA. The record was last updated on Jul 14, 2008.