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Organization
GUNDERSEN CLINIC LTD
Active
Organization
GUNDERSEN CLINIC LTD
Active
Parent organization
GUNDERSEN CLINIC LTD
Other names
GUNDERSEN CLINIC MOBILE MAMMO UNIT
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
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-7440
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-7440
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
08/06/2021
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