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Shane Michael Gustafson, DO
Sports Medicine (Family Medicine) Physician in Bloomington, Minnesota
NPI 1922017623

Shane Michael Gustafson is a Sports Medicine (Family Medicine) Physician based in Bloomington, MN and is specialized in Sports Medicine. Shane Michael Gustafson practices in Bloomington, MN and has the professional credentials of DO. The NPI Number for Shane Michael Gustafson is 1922017623 and holds a License No. 34-008344 (Minnesota).

The current practice location address for Shane Michael Gustafson is 8100 Northland Dr, Bloomington, MN and can be reached out via phone at 952-831-8742.

Location: 8100 Northland Dr, Bloomington, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922017623
Provider Name
Shane Michael Gustafson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
8100 Northland Dr, Bloomington, MN, 55425-4516
Phone Number
952-831-8742
Fax Number
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080016479 01 MN MEDICARE
935408000 05 MN
institution
Provider Business Practice Location Address Details
Address
8100 Northland Dr
City
Bloomington
State
Minnesota
Zip
55431-4800
Phone Number
952-831-8742
Fax Number
person
Provider Business Mailing Address Details
Address
8100 Northland Dr
City
Bloomington
State
Minnesota
Zip
55431-4800
Phone Number
952-831-8742
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Sports Medicine
Taxonomy
207QS0010X
License No.
34-008344 (Ohio)
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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