Individual
TODD CORY GUNDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
255 W 36TH ST, SUITE 240, JASPER, IN 47546-7820
(812) 481-2100
(812) 481-2144
Mailing address
255 W 36TH ST, SUITE 240, JASPER, IN 47546-7820
(812) 481-2100
(812) 481-2144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003376A
IN
152W00000X
Optometrist
2002006805
MO
152W00000X
Optometrist
—
IL
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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