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Gundersen Clinic, LTD.

Organization Active NPI Optometrist · Whitehall, WI

NPI 1215976352 · NPPES record last updated Aug 6, 2021

Key facts

NPI
1215976352
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
GUNDERSEN CLINIC, LTD.
Practice address
18606 Ervin St
Whitehall, WI 54773-8613
Phone
(608) 782-7300
NPI assigned
Jun 5, 2006
Organization subpart
Yes
Parent organization (as reported)
GUNDERSEN CLINIC, LTD.

Authorized official

Name
Kari B Adank
Title
Cco
Phone
(608) 775-8025

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
La Liberte-Gundersen VI (52 organizations share this tax ID)
Part of
La Liberte-Gundersen VI

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

18606 Ervin St
Whitehall, WI 54773-8613

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other names

  • GL Vision Center - Whitehall Other name

Other providers in Whitehall, WI

All providers in Whitehall, WI · Optometrist in Wisconsin

Sources for this page

Verify at the official NPI Registry.