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Faith A. Gustafson, PA-C
Medical Physician Assistant in Cumberland, Wisconsin
NPI 1356348858

Faith A. Gustafson is a Medical Physician Assistant based in Cumberland, WI and is specialized in Medical. Faith A. Gustafson practices in Cumberland, WI and has the professional credentials of PA-C. The NPI Number for Faith A. Gustafson is 1356348858 and holds a License No. 1677-023 (Wisconsin).

The current practice location address for Faith A. Gustafson is 1475 Webb St, Cumberland, WI and can be reached out via phone at 717-822-2231 and via fax at 715-822-2023.

Location: 1475 Webb St, Cumberland, WI, 54829-9187
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Provider Profile Details
NPI Number
1356348858
Provider Name
Faith A. Gustafson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1475 Webb St, Cumberland, WI, 54829-9187
Phone Number
717-822-2231
Fax Number
715-822-2023
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41981700 05 WI
institution
Provider Business Practice Location Address Details
Address
1475 Webb St
City
State
Zip
54829-9187
Phone Number
717-822-2231
Fax Number
715-822-2023
person
Provider Business Mailing Address Details
Address
1475 Webb St
City
State
Zip
54829-9187
Phone Number
717-822-2231
Fax Number
715-822-2023
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1677-023 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1677-023 (Wisconsin)
Definition
Definition to come...
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