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Amanda Gustafson

NPI 1215341219 · on the registry since 2014

Practice

Address
15250 Cedar Ave
Apple Valley, MN 55124
Phone
(952) 432-5557
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
SD, MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-11

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