DR. MARK CHARLES GUSTAFSON DC.
NPI 1306919931
Chiropractor in Bloomington, MN

Active since November 15, 2006
3916 W 113TH ST, BLOOMINGTON, MN 55437(612) 709-3104(952) 884-0852 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Charles Gustafson Dc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK CHARLES GUSTAFSON DC. (NPI 1306919931) is an individual chiropractor in Bloomington, Minnesota, licensed in Minnesota (2493) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1306919931
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK CHARLES GUSTAFSONCredential: DC.
Location Address3916 W 113TH STBloomington, MN 55437-3503
Mailing Address3916 W 113th StBloomington, MN 55437-3503 · (612) 709-3104 · Fax (952) 884-0852
Fax(952) 884-0852
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1306919931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 2493
Definition

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.

3916 W 113TH ST, Bloomington, MN 55437

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3916 W 113TH ST
BLOOMINGTON, MN 55437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Gustafson's NPI number?

The NPI number for Mark Gustafson is 1306919931. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Mark Gustafson located?

Mark Gustafson practices at 3916 W 113th St, Bloomington, MN 55437. The listed phone number is (612) 709-3104.

What is Mark Gustafson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mark Gustafson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.