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Individual

GISELA GUNDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15397 STATE HIGHWAY 32, LAKEWOOD, WI 54138-9702
(715) 276-6321
(262) 654-9333
Mailing address
15397 STATE HIGHWAY 32, LAKEWOOD, WI 54138-9702
(715) 276-6321
(262) 654-9333

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6070
WI

Other

Enumeration date
01/24/2011
Last updated
01/24/2011
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