Thomas Paul Gustafson, MD
Thomas Paul Gustafson, MD is a Family Practice in Chisago City, Minnesota. Graduated from University of Minnesota Medical School in 2006, 20 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.
- Years since qualifying
- 20
- Trained at
- University of Minnesota Medical School
- Licensed in
- MN
- 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.
Practice location Address checks out
11725 Stinson AveChisago City, MN 55013-9542
Phone: (651) 257-8499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sleep Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS1201X · Licence 49732 (MN) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 49732 (MN) |
Record details
| NPI number | 1225253693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 13, 2007 |
| Last updated in NPPES | March 11, 2012 |
| Mailing address | 490 Owasso Hills Dr, Roseville, MN 55113-2153 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduated | 2006 (20 years in practice) |
| Group practice | Grand Itasca Clinic And Hospital — 325 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |