Shane M. Gustafson, DO
Primary Care Sports Medicine · Bloomington, MN
UnclaimedDONPI 1922017623
- Primary taxonomy
- 207QS0010X
- Enumerated
- 2006-08-05
- Practice location
- Bloomington, MN
- Last NPPES update
- 2021-06-17
State licenses
- MN · Osteopathic physician · NPPES self-reportedListed on NPI record
- OH · Osteopathic physician · 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.