Individual
AUSTIN GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
122 GREEN BAY RD STE 100, THIENSVILLE, WI 53092-1679
(262) 478-9104
Mailing address
122 GREEN BAY RD STE 100, THIENSVILLE, WI 53092-1679
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5484
WI
Other
Enumeration date
01/13/2021
Last updated
07/18/2023
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