Marcus M. Gustafson, DDS
General Dentistry · Lakeland, MN
UnclaimedDDSNPI 1164489654
- Primary taxonomy
- 122300000X
- Enumerated
- 2006-04-27
- Practice location
- Lakeland, MN
- Last NPPES update
- 2015-10-23
State licenses
- MN · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.