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Organization
GUNDERSEN CLINIC LTD
Active
Organization
GUNDERSEN CLINIC LTD
Active
Parent organization
GUNDERSEN CLINIC LTD
Other names
GL LA CROSSE DENTAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUNDERSEN CLINIC LTD
Authorized official
KARI B ADANK (CCO)
(608) 775-8025
Entity
Organization
Contact information
Practice address
201 3RD ST N, LA CROSSE, WI 54601-3208
(608) 782-7300
Mailing address
201 N 3RD ST, LA CROSSE, WI 54601-3208
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
08/06/2021
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