Gundersen Lutheran Medical Center INC

NPI #1972846087 in Tomah, Wisconsin

Provider Information

NPI Number: 1972846087
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 - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 27, 2013
Last Updated: Mar 25, 2022

Practice Location

Address: 505 GOPHER DR STE B
City: Tomah
State: Wisconsin
ZIP Code: 54660-4513
Phone: (608) 782-7300

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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