# GUNDERSEN CLINIC, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GUNDERSEN CLINIC LTD
- **Other names:** GL Sparta Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467404483
- **Legal business name:** GUNDERSEN CLINIC LTD
- **Authorized official:** KARI B ADANK (CCO)
- **Authorized official phone:** (608) 775-8025

## Contact information

- **Practice address:** 315 W OAK ST, SPARTA, WI 54656-2150
- **Practice address phone:** (608) 782-7300
- **Mailing address:** 1836 SOUTH AVE, LA CROSSE, WI 54601-5429
- **Mailing address phone:** (608) 782-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 08/06/2021