Organization
GUNDERSEN AND ZUKER PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH FURTAW (ACCOUNT SPECIALIST)
(231) 722-3556
Entity
Organization
Contact information
Practice address
8747 FERRY ST, MONTAGUE, MI 49437-2207
(231) 893-5671
(231) 893-7585
Mailing address
8747 FERRY ST, MONTAGUE, MI 49437-2207
(231) 893-5671
(231) 893-7585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104907153
NPI RONALD ZUKER OD
—
01
—
1417993098
NPI DAVID GUNDERSEN OD
—
01
—
1942385265
NPI MONTAGUE
—
Enumeration date
04/10/2007
Last updated
06/24/2009
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