Individual
HJALTI GUDMUNDSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-7748
IA
207RC0000X
Cardiovascular Disease Physician
38868
IA
207RC0000X
Cardiovascular Disease Physician
56324
MN
207RC0000X
Cardiovascular Disease Physician
Primary
60509
WI
Other
Enumeration date
05/23/2007
Last updated
03/24/2014
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