License holder summary

Shane Michael Gustafson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Shane Michael Gustafson is North Memorial Sport, Spine & Joint, 8301 Golden Valley Road, Suite 201, Golden Valley, MN 55427. This doctor license is current. The license was granted 11/10/2007 and expired on 07/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Shane Michael Gustafson
Medical - Physician And Surgeon
License number
50252
Date granted
11/10/2007
Date expires
07/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
North Memorial Sport, Spine & Joint, 8301 Golden Valley Road, Suite 201, Golden Valley, MN 55427
doctorsminnesota.org
ID 22215823
LAST UPDATED 2024-02-25 18:09:28 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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