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Nicholas Gustafson
Hematology & Oncology Physician in Sheboygan, Wisconsin
NPI 1508286386

Nicholas Gustafson is a Hematology & Oncology Physician based in Chicago, WI and is specialized in Hematology & Oncology. Nicholas Gustafson practices in Sheboygan, WI. The NPI Number for Nicholas Gustafson is 1508286386 and holds a License No. 02005360A (Wisconsin).

The current practice location address for Nicholas Gustafson is 1222 N 23Rd St, Sheboygan, WI and can be reached out via phone at 920-457-6800.

Location: 1222 N 23Rd St, Sheboygan, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508286386
Provider Name
Nicholas Gustafson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1222 N 23Rd St, Sheboygan, WI, 60673-5044
Phone Number
920-457-6800
Fax Number
Provider Enumeration Date
04/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100139705 05 WI
institution
Provider Business Practice Location Address Details
Address
1222 N 23Rd St
City
Sheboygan
State
Wisconsin
Zip
53081-3171
Phone Number
920-457-6800
Fax Number
person
Provider Business Mailing Address Details
Address
1222 N 23Rd St
City
Sheboygan
State
Wisconsin
Zip
53081-3171
Phone Number
920-457-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
72979 (Wisconsin)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Hospitalist
Speciality
-
Taxonomy
208M00000X
License No.
02005360A (Indiana)
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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