Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Blake Gustafson, MD

Individual provider Emergency Medicine Physician · NPI 1467654442

Dr. Blake Gustafson, MD is an Emergency Medicine in Newark, Delaware. Graduated from University of Minnesota Medical School in 2007, 19 years ago. Practices with Sanford Medical Center, a 842-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
19
Trained at
University of Minnesota Medical School
Licensed in
DE
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4755 Ogletown Stanton Rd Dept OF Emergency Medicine
Newark, DE 19718-2200
Phone: (302) 733-1840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence C1-0009550 (DE)
Family Medicine Physician Taxonomy 207Q00000X · Licence C1-0009550 (DE)

Record details

NPI number1467654442
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2007
Last updated in NPPESMay 10, 2013
Mailing addressPo Box 7529, Newark, DE 19714-7529

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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