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Contact Information

GUNDERSEN CLINIC, LTD.
1111 W WISCONSIN ST
SPARTA, WI54656
 Phone: 608-782-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Clinic/Center

261Q00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GUNDERSEN CLINIC LTD · (Female)

NPI Number 1578518346
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2006
Last updated 08/06/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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