NPI: 1619200631
Provider Name: GUNDERSEN CLINIC LTD
Other Name: GUNDERSEN CLINIC MOBILE MAMMO UNIT
Classification: Clinic/Center - 261QR0207X
Entity Type: Organization
Specialization: Radiology, Mobile Mammography
Address:
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
Phone: (608) 782-7300
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GUNDERSEN CLINIC LTD is a radiology and mobile mammography clinic center in La Crosse, WI. GUNDERSEN CLINIC LTD NPI is 1619200631. The provider is registered as an organization entity type.
The provider Other Name Is Gundersen Clinic Mobile Mammo Unit.
The provider's business location address is:
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601-429
Phone: (608) 782-7300
Fax: (608) 775-7440
The provider's authorized official is Kari B Adank .
The authorized official title is Cco and has the following contact phone number (608) 775-8025.
The enumeration date for this NPI number is 9/9/2009 and was last updated on 8/6/2021.