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

Paul T. Gustafson, DO

Individual provider Surgery Physician · NPI 1528033644

Paul T. Gustafson, DO is a Surgery Physician in Evanston, Wyoming. Licensed in Iowa, Michigan and Wyoming. Registered with an NPI since 2006.

Licensed in
IA, MI, WY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

196 Arrowhead Dr Ste 9
Evanston, WY 82930-8752
Phone: (307) 783-8280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence TL#656 (WY)
Surgery Physician Taxonomy 208600000X · Licence 2894 (IA)
Surgery Physician Taxonomy 208600000X · Licence 5101015864 (MI)

Record details

NPI number1528033644
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESApril 11, 2008
Mailing address7100 Commerce Way, Suite 180, Brentwood, TN 37027-2829

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