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Search › Minnesota › Sports Medicine (Family Medicine) Physician

Shane Gustafson, DO

NPI 1922017623 · on the registry since 2006

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 Products
Inferred from a shared address, not stated in the registry.
Clinicians at this address
147

Additional practice sites

  • 1901 Connecticut Ave S, Sartell, MN

Registry record

Primary taxonomy
Sports Medicine (Family Medicine) Physician
207QS0010X
Also registered as
Sports Medicine (Family Medicine) Physician
Licence states on file
OH, MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-17

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