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Organization

GUNDERSEN CLINIC LTD

Active
Parent organization
GUNDERSEN CLINIC LTD
Other names
GL TCM CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GUNDERSEN CLINIC LTD
Authorized official
KARI B ADANK (CCO)
(608) 775-8025
Entity
Organization

Contact information

Practice address
18601 LINCOLN ST, WHITEHALL, WI 54773-8605
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
12/11/2012
Last updated
03/07/2016
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