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Individual

ERIK W. GUNDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7750
Mailing address
129 ONEIDA VALLEY RD, STE 211, BUTLER, PA 16001-2252
(715) 342-7750

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
21024
AZ
207V00000X
Obstetrics & Gynecology Physician
70421
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD462923
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0919359-01
TX
05
610502
AZ
Enumeration date
06/13/2006
Last updated
02/23/2023
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