Individual
MCKENZIE R GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
844 INDIAN TRAIL BLVD, TRAVERSE CITY, MI 49686-3640
(616) 301-8000
Mailing address
844 INDIAN TRAIL BLVD, TRAVERSE CITY, MI 49686-3640
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
11/07/2023
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