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Contact Information

GUNDERSEN CLINIC, LTD.
120 2ND AVENUE SE
WAUKON, IA52172
 Phone: 608-782-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GUNDERSEN CLINIC, LTD.

NPI # 1265472807
LBN Legal business name GUNDERSEN CLINIC, LTD.
Authorized official KARI ADANK - (CCO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/08/2006
Last updated 08/06/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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