Organization
GUNDERSEN CLINIC, LTD.
Active
Parent organization
GUNDERSEN CLINIC LTD
Other names
Gundersen Eye Clinic and Dental Specialties Prairie du Chien
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
118 S MARQUETTE RD, PRAIRIE DU CHIEN, WI 53821-1640
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/25/2006
Last updated
08/06/2021
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