Individual
THOMAS W GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 ZIERKE CT, WINNEBAGO, IL 61088-8322
(815) 980-1282
Mailing address
509 ZIERKE CT, WINNEBAGO, IL 61088-8322
(815) 980-1282
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
041.339921
IL
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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