person
Kurt Joseph Gustafson, DPM
Foot Surgery Podiatrist in Lehighton, Pennsylvania
NPI 1326069055

Kurt Joseph Gustafson is a Foot Surgery Podiatrist based in Lehighton, PA and is specialized in Foot Surgery. Kurt Joseph Gustafson practices in Lehighton, PA and has the professional credentials of DPM. The NPI Number for Kurt Joseph Gustafson is 1326069055 and holds a License No. SC004598L (Pennsylvania).

The current practice location address for Kurt Joseph Gustafson is 215 S 1St St, Lehighton, PA and can be reached out via phone at 610-377-5544 and via fax at 610-377-6744.

Location: 215 S 1St St, Lehighton, PA, 18235-2163
person
Provider Profile Details
NPI Number
1326069055
Provider Name
Kurt Joseph Gustafson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
215 S 1St St, Lehighton, PA, 18235-2163
Phone Number
610-377-5544
Fax Number
610-377-6744
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0008247770003 05 PA
815699 01 PA 1ST PRIORITY
480033403 01 PA RAILROAD MEDICARE
50000307 01 PA BLUE CROSS
2811707 01 PA AETNA NO
80426 01 PA GEISINGER
institution
Provider Business Practice Location Address Details
Address
215 S 1St St
City
State
Zip
18235-2163
Phone Number
610-377-5544
Fax Number
610-377-6744
person
Provider Business Mailing Address Details
Address
215 S 1St St
City
State
Zip
18235-2163
Phone Number
610-377-5544
Fax Number
610-377-6744
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
SC004598L (Pennsylvania)
Definition
Definition to come...
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