Gundersen Lutheran Medical Center INC

NPI #1548992316 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1548992316
Entity Type: Organization
Organization Name: Gundersen Lutheran Medical Center INC
Subpart: Yes (part of a larger organization)
Parent Organization: GUNDERSEN LUTHERAN MEDICAL CENTER INC
Primary Specialty: Clinic/Center
Enumeration Date: Jun 29, 2022
Last Updated: Jun 29, 2022

Practice Location

Address: 13500 WATERTOWN PLANK RD STE 206
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-2260
Phone: (608) 782-7300

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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