Individual
JENNIFER L GUNDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 25TH AVE S, SUITE 505, MINNEAPOLIS, MN 55454-1513
(612) 455-2008
(612) 455-2009
Mailing address
701 25TH AVE S, SUITE 505, MINNEAPOLIS, MN 55454-1513
(612) 455-2008
(612) 455-2009
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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