Gundersen Clinic, Ltd.

NPI #1467404483 in Sparta, Wisconsin

Provider Information

NPI Number: 1467404483
Entity Type: Organization
Organization Name: Gundersen Clinic, Ltd.
Subpart: Yes (part of a larger organization)
Parent Organization: GUNDERSEN CLINIC LTD
Primary Specialty: Clinic/Center
Enumeration Date: May 17, 2006
Last Updated: Aug 6, 2021

Practice Location

Address: 315 W OAK ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-2150
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
Clinic/Center	261Q00000X	Primary

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