person
Eric Gustafson, DPM
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1316470255

Eric Gustafson is a Student in an Organized Health Care Education/Training Program based in Louisville, KY. Eric Gustafson practices in Louisville, KY and has the professional credentials of DPM. The NPI Number for Eric Gustafson is 1316470255 and holds a License No. 262794 (Kentucky).

The current practice location address for Eric Gustafson is 6801 Dixie Hwy Ste 134, Louisville, KY and can be reached out via phone at 502-447-4500 and via fax at 502-449-0108.

Location: 6801 Dixie Hwy Ste 134, Louisville, KY, 40258-3952
person
Provider Profile Details
NPI Number
1316470255
Provider Name
Eric Gustafson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6801 Dixie Hwy Ste 134, Louisville, KY, 40258-3952
Phone Number
502-447-4500
Fax Number
502-449-0108
Provider Enumeration Date
04/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6801 Dixie Hwy Ste 134
City
State
Zip
40258-3952
Phone Number
502-447-4500
Fax Number
502-449-0108
person
Provider Business Mailing Address Details
Address
6801 Dixie Hwy Ste 134
City
State
Zip
40258-3952
Phone Number
502-447-4500
Fax Number
502-449-0108
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
262794 (Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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