Gundersen Clinic, Ltd.

NPI #1093757320 in Viroqua, Wisconsin

Provider Information

NPI Number: 1093757320
Entity Type: Organization
Organization Name: Gundersen Clinic, Ltd.
Subpart: Yes (part of a larger organization)
Parent Organization: GUNDERSEN CLINIC, LTD.
Primary Specialty: Optometrist
Enumeration Date: Jun 12, 2006
Last Updated: Aug 6, 2021

Practice Location

Address: 407 S MAIN ST
Address 2: SUITE 103
City: Viroqua
State: Wisconsin
ZIP Code: 54665-2057
Phone: (608) 782-7300

Authorized Official

Name: KARI B ADANK
Title: CCO
Phone: (608) 775-8025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Optometrist	152W00000X	Primary

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