THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
26/12/24 12:57:28 PM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 2019
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 1460 Idlywild Dr
Clinic
Fort Frances ON P9A 3M3
Business Email: No Information Available
Phone: 807-274-3131
Fax: 807-274-3855
Address: 301 Victoria Ave
Fort Frances ON P9A 2C1
Phone: 807-274-3287
Extension: 254
Fax: 807-274-7875
Address: 110 Victoria Ave
Hospital
Fort Frances ON P9A 2B7
Phone: 807-274-3261
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 21 Jun 2021
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 21 2021
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
La Verendrye Hospital Riverside Health Care Facilities Fort Frances
HOSPITAL: La Verendrye Hospital Riverside Health Care Facilities
LOCATION: Fort Frances

Professional Corporation Information

Corporation Name: Dr. J. Gustafson Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 27 Jun 2022
Shareholders:
Dr. J. Gustafson (CPSO#: 118096 )
Business Address: 1460 Idlywild Dr
Fort Frances ON P9A 3M3 807-274-3131
Corporation Name: Keffer Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 11 Apr 2007
Shareholders:
Dr. M. Halvorsen (CPSO#: 100103 ) Dr. L. Jenks (CPSO#: 55667 ) Dr. J. Gustafson (CPSO#: 118096 ) Dr. V. Patel (CPSO#: 108275 ) Dr. K. Eltawil (CPSO#: 97650 ) Dr. R. Nugent (CPSO#: 66632 ) Dr. L. Keffer (CPSO#: 111231 ) Dr. S. Elkheir (CPSO#: 98789 ) Dr. M. Ruppenstein (CPSO#: 98445 )
Business Address: 110 Victoria Avenue
Fort Frances Ontario P9A 2B7 (807) 274-3261
Business Address: 310 Nelson Street
Fort Frances Ontario P9A 1B1 (807) 274-7708
Business Address: 1460 Idylwild Drive
RMB 2004 RR#2
Fort Frances Ontario P9A 3M3
Business Address: 301 Victoria Avenue
Fort Frances Ontario P9A 2C1 (807) 274-3287

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 2019

Practice Information

Primary Business Location: 1460 Idlywild Dr
Clinic
Fort Frances ON P9A 3M3
Business Email: No Information Available
Phone: 807-274-3131
Fax: 807-274-3855
Address: 301 Victoria Ave
Fort Frances ON P9A 2C1
Phone: 807-274-3287
Extension: 254
Fax: 807-274-7875
Address: 110 Victoria Ave
Hospital
Fort Frances ON P9A 2B7
Phone: 807-274-3261
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 21 Jun 2021
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 21 2021
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
La Verendrye Hospital Riverside Health Care Facilities Fort Frances
HOSPITAL: La Verendrye Hospital Riverside Health Care Facilities
LOCATION: Fort Frances

Professional Corporation Information

Corporation Name: Dr. J. Gustafson Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 27 Jun 2022
Shareholders:
Dr. J. Gustafson (CPSO#: 118096 )
Business Address: 1460 Idlywild Dr
Fort Frances ON P9A 3M3 807-274-3131
Corporation Name: Keffer Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 11 Apr 2007
Shareholders:
Dr. M. Halvorsen (CPSO#: 100103 ) Dr. L. Jenks (CPSO#: 55667 ) Dr. J. Gustafson (CPSO#: 118096 ) Dr. V. Patel (CPSO#: 108275 ) Dr. K. Eltawil (CPSO#: 97650 ) Dr. R. Nugent (CPSO#: 66632 ) Dr. L. Keffer (CPSO#: 111231 ) Dr. S. Elkheir (CPSO#: 98789 ) Dr. M. Ruppenstein (CPSO#: 98445 )
Business Address: 110 Victoria Avenue
Fort Frances Ontario P9A 2B7 (807) 274-3261
Business Address: 310 Nelson Street
Fort Frances Ontario P9A 1B1 (807) 274-7708
Business Address: 1460 Idylwild Drive
RMB 2004 RR#2
Fort Frances Ontario P9A 3M3
Business Address: 301 Victoria Avenue
Fort Frances Ontario P9A 2C1 (807) 274-3287

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. JEFFREY TYLER GUSTAFSON may practise only in the areas of medicine in which Dr. GUSTAFSON is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. JEFFREY TYLER GUSTAFSON may practise only in the areas of medicine in which Dr. GUSTAFSON is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Schulich School of Medicine and Dentistry, Western University, 2019

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 26 Jun 2021
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2019
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 26 Jun 2021
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2019