Gustafson, Alicia

Gustafson, Alicia is an individual health care provider with primary practice located at 8100 Northland Dr , Bloomington MN 55431-4800. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Gustafson, Alicia can be contacted via phone (952) 831-8742.

Contact Information

Primary practice address
8100 Northland Dr Bloomington MN 55431-4800
Phone: (952) 831-8742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X S9140 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X S9140 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 75542 Minnesota

Profile Details

NPI number 1417210790
LBN Legal business name Gustafson, Alicia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated May 10th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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