Individual
DUANE K UNDELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
226 N 2ND ST, LA CRESCENT, MN 55947-1111
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52620
WI
207R00000X
Internal Medicine Physician
Primary
53761
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2008
Last updated
06/02/2015
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