Gundersen Clinic, Ltd.

NPI #1215976352 in Whitehall, Wisconsin

Provider Information

NPI Number: 1215976352
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 5, 2006
Last Updated: Aug 6, 2021

Practice Location

Address: 18606 ERVIN ST
City: Whitehall
State: Wisconsin
ZIP Code: 54773-8613
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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