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1750306981
ROBERT J GUSTAFSON
HETTINGER, ND
NPI
1750306981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ND 13461)
Additional Taxonomies
208600000X Surgery
(Licence: SD 8010)
Enumeration Date
2006-07-12
Last Update Date
2016-02-02
Business Address
-- ROBERT J GUSTAFSON MD
1100 HIGHWAY 12 ATTN: EVE
HETTINGER, ND 58639-7533
Phone number: 701-567-4561
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Mailing Address
-- ROBERT J GUSTAFSON MD
1100 HIGHWAY 12 ATTN: EVE
HETTINGER, ND 58639-7533
Phone number: 701-567-4561
Copy
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