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Contact Information

DAWN R GUSTOFSON, RD, LD, CDE
411 LAUREL ST STE 3320
DES MOINES, IA50314-3017
 Phone: 515-643-5203
 Fax: 515-643-5204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for DAWN R GUSTOFSON · (Female)

NPI # 1225133531
Status Active
Credentials RD, LD, CDE
Entity Individual
Enumeration date 09/13/2006
Last updated 11/15/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 1021
Hospital affiliation(s)
  • MERCY MEDICAL CENTER-DES MOINES - (Acute Care)
    1111 6TH AVE
    DES MOINES, IA 50314
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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