Shane Michael Gustafson, DO

207QS0010X

Bloomington, MN

Specialty

207QS0010X

Credential

NPI

1922017623

Affiliated Facility

Tria Orthopaedic Center Llc

8100 Northland Dr, Bloomington, MN 55431

(952) 831-8742

Medicare★ 3.6 Google (328)97% Patient Rating

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About this profile: Surgeon information is sourced from the CMS National Plan and Provider Enumeration System (NPPES) NPI Registry and reflects the practice address on file as of February 2026. Facility affiliation is based on matching practice address to CMS-certified ambulatory surgery center locations.

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207QS0010X

This surgeon specializes in 207qs0010x procedures performed in an outpatient ambulatory surgical setting.

NUCC Taxonomy: 207QS0010X

Affiliated Surgery Center

Tria Orthopaedic Center Llc

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