Individual
DR. STEPHANIE JEAN GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
(262) 253-3399
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
(262) 253-3399
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
63044
WI
207VE0102X
Reproductive Endocrinology Physician
Primary
63044
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366785065
—
WI
Enumeration date
04/01/2013
Last updated
07/01/2020
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