Individual
KATHERINE E. GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 DEERFIELD DR, JANESVILLE, WI 53546-3557
(608) 314-3600
(608) 314-3601
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3892-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396293890
—
WI
Enumeration date
09/14/2016
Last updated
07/13/2021
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