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Contact Information

GARY J GUSTAFSON, MD
8303 DODGE ST
OMAHA, NE68114-4108
 Phone: 402-354-4424
 Fax: 402-354-4435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GARY J GUSTAFSON · (Male)

NPI Number 1881700326
Status Active
Credentials MD
Entity Individual
Enumeration date 08/21/2006
Last updated 05/09/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 17551
  • IA Medicaid 1133678
  • IA Medicaid 1881700326
  • NE Medicaid 47037660412
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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