Tracey L Guselle, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

46198 Issued in MN

Practice address

7901 Xerxes Ave S
Bloomington, MN 55431-1253

Phone

(952) 888-2024

Fax

(952) 888-3985

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891850327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071715",
            "telephone_number": "612-721-6511",
            "fax_number": "612-721-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 XERXES AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311253",
            "telephone_number": "952-888-2024",
            "fax_number": "952-888-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSELLE",
        "first_name": "TRACEY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "46198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Daniele Gunnerson, PSYD, LP
• Maida G Gunther, PH.D.
• Roberta Rae Gunther, M.A., CCC-SLP
• Gurey LLC
• Mohamed Abdi Gurre
• Melanie Guski
• Alicia Gustafson, D.O.
• Mark Charles Gustafson, DC.
• Shane Michael Gustafson, DO
• Hope Katherine Gustason

• Family Medicine Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.