Individual
MORGAN GUNNINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-0163
(920) 929-3680
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-0163
(920) 929-3680
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
843036
WI
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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