Provider Demographics
NPI:1780962670
Name:GERSTNER, JUSTIN A (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:A
Last Name:GERSTNER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5995 OREN AVE N STE 203
Mailing Address - Street 2:
Mailing Address - City:OAK PARK HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55082-6379
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5995 OREN AVE N STE 203
Practice Address - Street 2:
Practice Address - City:OAK PARK HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55082-6379
Practice Address - Country:US
Practice Address - Phone:651-217-1480
Practice Address - Fax:833-972-5926
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61457-202084P0800X, 2084P0800X
MN600512084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry