DR. STEPHANIE JEAN GUNDERSON MD NPI 1366785065

NPI Information

NPI: 1366785065
Provider Name: DR. STEPHANIE JEAN GUNDERSON, MD
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

PECOS Registration: Yes

Address:
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI
ZIP 53051
Phone: (262) 253-5400
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DR. Stephanie Jean Gunderson, MD is a reproductive endocrinology obstetrics gynecology in Menomonee Falls, WI with 11 years of experience. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Stephanie Jean Gunderson, MD NPI is 1366785065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2013

The provider's business location address is:

W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI
ZIP 53051-538
Phone: (262) 253-5400
Fax: (262) 253-3399

The NPI 1366785065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2013 and was last updated on 7/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		63044	WISCONSIN	No
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	63044	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1366785065	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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