Dr Marcus Michael Gustafson, DDS | |
16678 7th St S, Lakeland, MN 55043-9531 | |
(612) 867-6177 | |
Not Available |
Full Name | Dr Marcus Michael Gustafson |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 16678 7th St S, Lakeland, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164489654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D8384 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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Dr Marcus Michael Gustafson, DDS 16678 7th St S, Lakeland, MN 55043-9531 Ph: (612) 867-6177 | Dr Marcus Michael Gustafson, DDS 16678 7th St S, Lakeland, MN 55043-9531 Ph: (612) 867-6177 |
Oluwadamilola Omodele Ajagbe, DDS Dentist Medicare: Medicare Enrolled Practice Location: 44 Saint Croix Trl S Ste 100, Lakeland, MN 55043 Phone: 651-436-5177 | |
Mr. John Edward Sweeney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 44 South St Croix Trail, Suite 100, Lakeland, MN 55043 Phone: 651-436-5177 Fax: 651-436-2421 |