Individual
DAVID M GUNDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
442 W WESTERN AVE, MUSKEGON, MI 49440
(231) 722-3556
(231) 726-6334
Mailing address
442 W WESTERN AVE, MUSKEGON, MI 49440
(231) 722-3556
(231) 726-6334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DG002694
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033294350
NPI SHELBY
—
01
—
1336362383
NPI MONTAGUE DME
—
01
—
1427271477
NPI SHELBY DME
—
01
—
1467675405
NPI MUSKEGON DME
—
05
—
1764566
—
MI
01
—
1831270891
NPI MUSKEGON
—
01
—
1942385265
NPI MONTAGUE
—
05
—
5082457
—
MI
05
—
5102139
—
MI
Enumeration date
06/21/2006
Last updated
03/27/2008
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