GUNDERSEN CLINIC, LTD.
Medical Equipment Supplier Yellow Pages
La Crosse, Wisconsin
Provider NPI: 1164433660
Organization Information:Organization Name: GUNDERSEN CLINIC, LTD.
Practice Location:
724 DENTON ST LA CROSSE, WI 54601 US
Tel: 608-775-1000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
724 DENTON ST LA CROSSE, WI 54601 US
Tel: 608-775-1000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | WI | 8317042 |
N | 3336C0003X | Suppliers Pharmacy | ||
Y | 3336C0002X | Suppliers Pharmacy | MN | 263512 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2110059 | 01 | |
33270300 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin