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Individual

DR. ERIC KARL UNDESSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1285
(601) 364-1257
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5500
(601) 984-5503

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11945
MS
2084N0400X
Neurology Physician
G8472
TX
2084N0600X
Clinical Neurophysiology Physician
11945
MS
2084N0600X
Clinical Neurophysiology Physician
G8472
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09880325
MS
Enumeration date
07/09/2006
Last updated
04/07/2014
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