Individual
MRS. AMY ELIZABETH GUNDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICENSED ATHLETIC TR
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 421-5257
(715) 421-0111
Mailing address
PO BOX 8075, WISCONSIN RAPIDS, WI 54495-8075
(715) 421-5257
(715) 421-0111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
118039
WI
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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