Individual
DR. TAMI SUE GUDENKAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8000
Mailing address
PO BOX 745, DUBUQUE, IA 52004-0745
(800) 301-5085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3349
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238170
—
IA
01
—
185346
IOWA HEALTH SOLUTIONS
—
01
—
33153
WELLMARK BCBS
—
05
—
43502800
—
WI
Enumeration date
06/16/2006
Last updated
10/17/2007
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