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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.

NPI # 1578518346
LBN Legal business name GUNDERSEN CLINIC, LTD.
Authorized official KARI ADANK - (CCO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/23/2006
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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