William C. Gustafson, D.c., P.a.

NPI 1548497340 - Chiropractor - 111N00000X

NPI Details
NPI 1548497340
Enumeration Date 06/18/2009
Last Updated 07/09/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WILLIAM C WILLIAM
Position PRESIDENT
Phone (763) 717-9510
Fax (763) 717-2988
Practice Location
199 COON RAPIDS BLVD
SUITE 315
COON RAPIDS MN, 55433-5861, US
Phone (763) 717-9510
Fax (763) 717-2988
Business Location
199 COON RAPIDS BLVD
SUITE 315
COON RAPIDS MN, 55433-5861, US
Phone (763) 717-9510
Fax (763) 717-2988
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 2782
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According to our database, William C. Gustafson, D.c., P.a. NPI is 1548497340, taxonomy code is 111N00000X and license number is 2782, license state is located at Minnesota. William C. Gustafson, D.c., P.a. physically located at 199 Coon Rapids Blvd, Coon Rapids MN, 55433-5861. NPI Number 1033115704 has the healthcare provider type.

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1548497340 NPI number is provided on an as is basis without warranty of any kind. 1548497340 is maintained by the National Plan & Provider Enumeration System. The contents of William C. Gustafson, D.c., P.a. are for informational purposes only.