1922017623 Shane Michael Gustafson, DO
Sports Medicine (Family Medicine) Physician
Active
Basic Information
- Full Name
- Shane Michael Gustafson, DO
- Gender
- Male
- Enumeration Date
- August 5, 2006
- Last Update
- June 17, 2021
Practice Location
- Address
- 8100 NORTHLAND DR
BLOOMINGTON, MN 554314800 - Phone
- (952) 831-8742
Mailing Address
- Address
- 8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 554254516 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician Sports Medicine | 207QS0010X | Family Medicine | 34-008344 | OH | No |
| Sports Medicine (Family Medicine) Physician Sports Medicine | 207QS0010X | Family Medicine | 50252 | MN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080016479 | 01 | MN | MEDICARE |
| 935408000 | 05 | MN | N/A |
Additional Practice Locations
1901 CONNECTICUT AVE S
SARTELL, MN 56377
SARTELL, MN 56377
Phone: (320) 229-2118
Fax: (320) 259-8044
Frequently Asked Questions
What is Shane Michael Gustafson, DO's NPI number?
Shane Michael Gustafson, DO's NPI number is 1922017623.
Which doctor has NPI number 1922017623?
The doctor with NPI number 1922017623 is Shane Michael Gustafson, DO.
What is Shane Michael Gustafson, DO's practice address?
Shane Michael Gustafson, DO's practice address is 8100 NORTHLAND DR, BLOOMINGTON, MN, 554314800.
Which doctor practices at 8100 NORTHLAND DR, BLOOMINGTON, MN, 554314800?
Shane Michael Gustafson, DO practices at 8100 NORTHLAND DR, BLOOMINGTON, MN, 554314800.
What is Shane Michael Gustafson, DO's mailing address?
Shane Michael Gustafson, DO's mailing address is 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN, 554254516.
What is Shane Michael Gustafson, DO's phone number?
Shane Michael Gustafson, DO's phone number is (952) 831-8742.
Who is (952) 831-8742?
(952) 831-8742 is the phone number for Shane Michael Gustafson, DO.
What is Shane Michael Gustafson, DO's specialty?
Shane Michael Gustafson, DO's specialty is Sports Medicine (Family Medicine) Physician.
What type of doctor is Shane Michael Gustafson, DO?
Shane Michael Gustafson, DO is a Sports Medicine (Family Medicine) Physician.
Is Shane Michael Gustafson, DO a Sports Medicine?
Yes, Shane Michael Gustafson, DO is a Sports Medicine.
Is Shane Michael Gustafson, DO still practicing?
Yes, Shane Michael Gustafson, DO is currently practicing.
Is Shane Michael Gustafson, DO accepting new patients?
Shane Michael Gustafson, DO may be accepting new patients. Please call their office at (952) 831-8742 to inquire about availability.
Is NPI 1922017623 still active?
Yes, NPI 1922017623 is currently active.
Where does Shane Michael Gustafson, DO practice?
Shane Michael Gustafson, DO practices in BLOOMINGTON, MN.
Is Shane Michael Gustafson, DO a male or female doctor?
Shane Michael Gustafson, DO is a male doctor.