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Contact Information

STEPHANIE J GUNDERSON, MD
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI53051-0538
 Phone: 262-253-5400
 Fax: 262-253-3399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for STEPHANIE J GUNDERSON · (Female)

NPI Number 1366785065
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2013
Last updated 07/01/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 63044
  • WI Medicaid 1366785065
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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