Gunderson, Erik W.
Gunderson, Erik W. is an individual health care provider with primary practice located at 824 Illinois Ave , Stevens Point WI 54481-3112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gunderson, Erik W. can be contacted via phone (715) 342-7750.Contact Information
Primary practice address
824 Illinois Ave
Stevens Point WI 54481-3112
Phone: (715) 342-7750
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 21024 | Arizona |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 70421 | Wisconsin |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD462923 | Pennsylvania |
Profile Details
NPI number | 1093758567 |
---|---|
LBN Legal business name | Gunderson, Erik W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2006 |
Last updated | Feb 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093758567 | NPPES |
Arizona | MEDICAID | 610502 | |
Arizona | MEDICAID | 0919359-01 |
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