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Brent Lee Gustafson, MD
Family Medicine Physician in Menomonee Falls, Wisconsin
NPI 1841850997

Brent Lee Gustafson is a Family Medicine Physician based in Chicago, WI. Brent Lee Gustafson practices in Menomonee Falls, WI and has the professional credentials of MD. The NPI Number for Brent Lee Gustafson is 1841850997 and holds a License No. 4301504906 (Wisconsin).

The current practice location address for Brent Lee Gustafson is N84W16889 Menomonee Ave, Menomonee Falls, WI and can be reached out via phone at 262-251-7500 and via fax at 262-532-1396.

Location: N84W16889 Menomonee Ave, Menomonee Falls, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841850997
Provider Name
Brent Lee Gustafson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
N84W16889 Menomonee Ave, Menomonee Falls, WI, 60673-5044
Phone Number
262-251-7500
Fax Number
262-532-1396
Provider Enumeration Date
06/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100242146 05 WI
institution
Provider Business Practice Location Address Details
Address
N84W16889 Menomonee Ave
City
Menomonee Falls
State
Wisconsin
Zip
53051-2810
Phone Number
262-251-7500
Fax Number
262-532-1396
person
Provider Business Mailing Address Details
Address
N84W16889 Menomonee Ave
City
Menomonee Falls
State
Wisconsin
Zip
53051-2810
Phone Number
262-251-7500
Fax Number
262-532-1396
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301504906 (Michigan)
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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