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Search › Minnesota › 1835P0018X

Samantha Gustafson

NPI 1326334525 · on the registry since 2011 · sole proprietor

Practice

Address
24760 Hospital Drive
Red Lake, MN 56671
Phone
(218) 679-2825
Organisation at this address
Sanford Medical Center Fargo
Comprehensive Health Services
Red Lake Medication Assisted Recovery Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-11

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