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Dr. Mark D. Gustafson, MD
Family Medicine Physician in Deer River, Minnesota
NPI 1467439000

Mark D. Gustafson is a Family Medicine Physician based in Fargo, MN. Mark D. Gustafson practices in Deer River, MN and has the professional credentials of MD. The NPI Number for Mark D. Gustafson is 1467439000 and holds a License No. 34203 (Minnesota).

The current practice location address for Mark D. Gustafson is 115 10Th Ave Ne, Deer River, MN and can be reached out via phone at 218-246-8275.

Location: 115 10Th Ave Ne, Deer River, MN, 58103-4940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467439000
Provider Name
Mark D. Gustafson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
115 10Th Ave Ne, Deer River, MN, 58103-4940
Phone Number
218-246-8275
Fax Number
Provider Enumeration Date
12/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
430703800 05 MN
institution
Provider Business Practice Location Address Details
Address
115 10Th Ave Ne
City
Deer River
State
Minnesota
Zip
56636-8795
Phone Number
218-246-8275
Fax Number
person
Provider Business Mailing Address Details
Address
115 10Th Ave Ne
City
Deer River
State
Minnesota
Zip
56636-8795
Phone Number
218-246-8275
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
34203 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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