Marcus Gustafson, DDS
NPI 1164489654 · on the registry since 2006
Practice
- Address
- 16678 7th St S
Lakeland, MN 55043 - Phone
- (612) 867-6177
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota