Alicia Gustafson, D.O.
Alicia Gustafson, D.O. holds NPI 1417210790, with a primary taxonomy of sports medicine (internal medicine) physician and a practice location in Bloomington, MN. The number was issued on June 21, 2012 and the NPPES record was last updated on May 10, 2024. The record lists 3 taxonomy codes. One additional practice location is listed.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Internal Medicine) Physician Primary | 207RS0010X | 75542 (MN) |
| Family Medicine Physician | 207Q00000X | S9140 (TX) |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | S9140 (TX) |
Practice locations
Local context
Active NPPES records list 4 providers with sports medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 3 of them within 10 miles.
The same primary taxonomy is listed by 4 in Minnesota and 494 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Alicia Gustafson
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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