Thomas Paul Gustafson in Chisago City - Sleep Medicine

Thomas Paul Gustafson - NPI 1225253693

Thomas Paul Gustafson is a Sleep Medicine in Chisago City, Minnesota. Thomas Paul Gustafson practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Thomas Paul Gustafson is 1225253693. The last update date is 2012-03-11.

Thomas Paul Gustafson's current location address is 11725 Stinson Ave, Chisago City, Minnesota. You can contact this provider via phone number 6512578499. The mailing address for Thomas Paul Gustafson is 11725 Stinson Ave, Chisago City, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Paul Gustafson
Address 11725 Stinson Ave, Chisago City, Minnesota
Phone Number 6512578499
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1225253693
Provider Enumeration Date 2007-04-13
Last Updated Date 2012-03-11

Provider Mailing Address Detail

Address 11725 Stinson Ave
City Chisago City
State Minnesota (MN)
Post Code 550139542
Phone Number 6512578499
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sleep Medicine
Taxonomy 207Qs1201X
Licence No 49732
Definition:
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders.

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FAQs about Thomas Paul Gustafson

What is the Thomas Paul Gustafson's unique identification number?

The Thomas Paul Gustafson has been assigned the NPI (National Provider Identifier) Number 1225253693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Thomas Paul Gustafson?

The Thomas Paul Gustafson is situated at 11725 Stinson Ave, in the city of Chisago City, state of MN, with the zip code 550139542.

What is Thomas Paul Gustafson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Thomas Paul Gustafson is Sleep Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qs1201X.

On what date did the Thomas Paul Gustafson receive the assignment of its 1225253693 from the Centers for Medicare & Medicaid Services?

The Thomas Paul Gustafson was issued its 1225253693 by the Centers for Medicare & Medicaid Services on 2007-04-13.

When was the information pertaining to Thomas Paul Gustafson most recently updated or revised?

The details related to Thomas Paul Gustafson, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-11.

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