Search › Minnesota › 207RS0010X
Alicia Gustafson, D.O
NPI 1417210790 · on the registry since 2012
Practice
- Address
- 8100 Northland Dr
Bloomington, MN 55431 - Phone
- (952) 831-8742
- Organisation at this address
- Tria Orthopaedic Center
Tria Orthopaedic Center Llc
Tria Orthopaedic Center Llc
Park Nicollet Health Care ProductsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 147
Additional practice sites
- 1976 Texan Dr., Suite 106, Justin, TX
Registry record
- Primary taxonomy
- 207RS0010X
207RS0010X
- Also registered as
- 207Q00000X
207QS0010X - Licence states on file
- TX, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-10
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