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

Dr. Mark D. Gustafson, MD

Individual provider Family Medicine Physician · NPI 1467439000

Dr. Mark D. Gustafson, MD is a Family Practice in Deer River, Minnesota. Graduated from University of Minnesota Medical School in 1987, 39 years ago. Works from 2 locations and offers telehealth. Licensed in Minnesota.

Years since qualifying
39
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2005
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

115 10th Ave NE
Deer River, MN 56636-8795
Phone: (218) 246-8275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 — (218) 326-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34203 (MN)

Record details

NPI number1467439000
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 26, 2005
Last updated in NPPESDecember 21, 2017
Mailing address1702 University Dr S, Fargo, ND 58103-4940

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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