Individual
NATHAN DANIEL GUNDACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33420
AL
207RI0200X
Infectious Disease Physician
Primary
67678
WI
Other
Enumeration date
03/28/2011
Last updated
07/21/2022
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