Search › North Dakota › 152W00000X
Tesha Gustafson, O.D
NPI 1467807230 · on the registry since 2016
Practice
- Address
- 28 2nd St Nw
Kenmare, ND 58746 - Phone
- (701) 385-4004
- Fax
- (701) 385-4005
- Organisation at this address
- Optometry Clinic, Pc
Optometry Clinic Of KenmareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 403 5th St Se, Stanley, ND
- 102 S Main St, Stanley, ND
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-04
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 North Dakota