Organization
GUNDERSEN AND ZUKER PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH FURTAW (ACCOUNT SPECIALIST)
(231) 722-3556
Entity
Organization
Contact information
Practice address
442 W WESTERN AVE, MUSKEGON, MI 49440-1110
(231) 722-3556
(231) 726-6334
Mailing address
442 W WESTERN AVE, MUSKEGON, MI 49440-1110
(231) 722-3556
(231) 726-6334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0809120001
MEDICARE DME
MI
01
—
1417993098
NPI DAVID GUNDERSEN OD
—
01
—
1831270891
NPI MUSKEGON
—
Enumeration date
04/10/2007
Last updated
06/24/2009
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