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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Popular Providers
-
Kline, Michael S
3000 Fairway Dr , Altoona PA 16602-4472 -
Shafi, Naveed
800 E Cypress Creek Rd Ste 304 , Ft Lauderdale FL 33334-3522 -
Larzalere, James Ray
1233 N Main , Mcpherson KS 67460 -
Jacko, Joseph G
4885 Olentangy River Rd Suite 2-50, Columbus OH 43214-1952 -
Hunt, C. Andrew
8100 Northland Dr , Bloomington MN 55431 -
Nelson, Andrew L.
1594 Route 9 Unit 6, Toms River NJ 08755 -
Troxler, Mark Anthony
7651 Eldorado Pkwy Ste 100 , Mckinney TX 75070-1735 -
Jain, Rajiv
1491 Sheridan Dr , Tonawanda NY 14217-1234