Dr MARK D GUSTAFSON is a male medical professional, specializing in Family Medicine. He graduated in 1987 from University Of Minnesota Medical School.
THE DULUTH CLINIC LTD
1101 9TH ST N
VIRGINIA
MN
557922329
Tel: 2187410150
| Npi | 1467439000 |
| Pac Id | 2264577915 |
| Professional Enrollment Id | I20100304001037 |
| Last Name | GUSTAFSON |
| First Name | MARK |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | THE DULUTH CLINIC LTD |
| Group Practice Pac Id | 2567374283 |
| Number Of Group Practice Members | 807 |
| Line 1 Street Address | 1101 9TH ST N |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VIRGINIA |
| State | MN |
| Zip Code | 557922329 |
| Phone Number | 2187410150 |
| Hospital Affiliation Ccn 1 | 241360 |
| Hospital Affiliation Lbn 1 | DEER RIVER HEALTHCARE CENTER |
| Hospital Affiliation Ccn 2 | 240084 |
| Hospital Affiliation Lbn 2 | ESSENTIA HEALTH VIRGINIA |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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