Individual
DR. GLEN ARTHUR GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
5111 ERHLICH ROAD, SUITE 128, TAMPA, FL 33624
(813) 960-2225
Mailing address
8836 AUBURN WAY, TAMPA, FL 33615-1202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5287
FL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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