BRUCE V GUSTAFSON OD

EYE CLINIC OF FARIBAULT, PA

Dr BRUCE V GUSTAFSON OD is a male medical professional, specializing in Optometry. He graduated in 1976 from Illinois College Of Optometry At Chicago.

Contact

EYE CLINIC OF FARIBAULT, PA

1575 - 20TH ST NW
SUITE 101
FARIBAULT
MN
550212931

Tel: 5073329900

BRUCE V GUSTAFSON OD Information

Npi 1851313415
Pac Id 3375444235
Professional Enrollment Id I20040119000415
Last Name GUSTAFSON
First Name BRUCE
Middle Name V
Suffix
Gender M
Credential OD
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1976
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EYE CLINIC OF FARIBAULT, PA
Group Practice Pac Id 9436052677
Number Of Group Practice Members 8
Line 1 Street Address 1575 - 20TH ST NW
Line 2 Street Address SUITE 101
Marker Of Address Line 2 Suppression
City FARIBAULT
State MN
Zip Code 550212931
Phone Number 5073329900
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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