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Organization

ADAM L GUNDER, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADAM LEE GUNDER M.D. (PRESIDENT)
(763) 862-5223
Entity
Organization

Contact information

Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-9400
Mailing address
12660 LEYTE ST NE, BLAINE, MN 55449-6791
(763) 862-5223

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
50646
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
169712001
TX
Enumeration date
06/12/2007
Last updated
06/10/2008
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