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Organization

GUNDERSEN LUTHERAN MEDICAL CENTER INC

Active
Parent organization
GUNDERSEN LUTHERAN MEDICAL CENTER INC
Other names
GLMC LA CROSSE RENAL DIALYSIS
Organization subpart
Yes

Provider details

NPI number
Legal business name
GUNDERSEN LUTHERAN MEDICAL CENTER INC
Authorized official
KARI B ADANK (CCO)
(608) 775-8025
Entity
Organization

Contact information

Practice address
1910 SOUTH AVE, HERITAGE BUILDING 2 WEST, LA CROSSE, WI 54601-5467
(608) 782-7300
(608) 775-4432
Mailing address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
10/13/2021
Last updated
10/13/2021
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