DR. MARK CHARLES GUSTAFSON DC. NPI 1306919931

NPI Information

  • NPI: 1306919931
  • Provider Name: DR. MARK CHARLES GUSTAFSON, DC.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 3916 W 113TH ST
    BLOOMINGTON, MN
    ZIP 55437
  • Phone: (612) 709-3104

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NPI Details

DR. Mark Charles Gustafson, DC. is a chiropractor in Bloomington, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Mark Charles Gustafson, DC. NPI is 1306919931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3916 W 113TH ST
BLOOMINGTON, MN
ZIP 55437-503
Phone: (612) 709-3104
Fax: (952) 884-0852

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2493MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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