Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul T. Gustafson, DO

Individual provider Surgery Physician · NPI 1528033644

Paul T. Gustafson, DO is a Surgery Physician in Evanston, Wyoming. Licensed in Iowa, Michigan and Wyoming. Registered with an NPI since 2006.

Licensed in
IA, MI, WY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

196 Arrowhead Dr Ste 9
Evanston, WY 82930-8752
Phone: (307) 783-8280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence TL#656 (WY)
Surgery Physician Taxonomy 208600000X · Licence 2894 (IA)
Surgery Physician Taxonomy 208600000X · Licence 5101015864 (MI)

Record details

NPI number1528033644
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESApril 11, 2008

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