Individual
THERESA M GUNNARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
Mailing address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40943
MN
207P00000X
Emergency Medicine Physician
Primary
43477
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406025300
—
MN
Enumeration date
03/10/2006
Last updated
05/10/2019
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