Kevin Gustafson in Bloomington - Diagnostic Radiology
Kevin Gustafson - NPI 1891745865
Kevin Gustafson is a Diagnostic Radiology in Bloomington, Minnesota. Kevin Gustafson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kevin Gustafson is 1891745865. The last update date is 2019-04-25.
Kevin Gustafson's current location address is 4801 W 81st St, Bloomington, Minnesota. You can contact this provider via phone number 9528379700 and fax number 9528379701. The mailing address for Kevin Gustafson is 4801 W 81st St, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Gustafson |
|---|---|
| Address | 4801 W 81st St, Bloomington, Minnesota |
| Phone Number | 9528379700 |
| Fax Number | 9528379701 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1891745865 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2019-04-25 |
Provider Mailing Address Detail
| Address | 4801 W 81st St |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554371111 |
| Phone Number | 9528379700 |
| Fax Number | 9528379701 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 26344 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 425272100 | MN | -- |
Post Comment/ Review Below
What is the Kevin Gustafson's 1891745865?
The Kevin Gustafson's NPI (National Provider Identifier) Number is 1891745865. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kevin Gustafson's facilities are situated?
The facilities of Kevin Gustafson are physically located at the following address: 4801 W 81St St, Bloomington, MN, 554371111.
What is Kevin Gustafson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Gustafson's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
When was the Kevin Gustafson's 1891745865 issued?
The Kevin Gustafson's 1891745865 was issued on 2006-05-11.
When was the information regarding Kevin Gustafson most recently updated?
The details pertaining to the Kevin Gustafson, including its address, specialty, and other relevant information, were last refreshed on 2019-04-25.
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