Individual
WILLIAM ADAM GUNDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1240 RUDDELL RD SE, LACEY, WA 98503-5753
(360) 870-9913
(360) 491-1494
Mailing address
1240 RUDDELL RD SE, LACEY, WA 98503-5753
(360) 870-9913
(360) 491-1494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015410
WA
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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