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Jennifer Gunderson
Medical Physician Assistant in Beloit, Wisconsin
NPI 1366175986

Jennifer Gunderson is a Medical Physician Assistant based in Janesville, WI and is specialized in Medical. Jennifer Gunderson practices in Beloit, WI. The NPI Number for Jennifer Gunderson is 1366175986 and holds a License No. (Wisconsin).

The current practice location address for Jennifer Gunderson is 1969 W Hart Rd, Beloit, WI and can be reached out via phone at 608-364-5011. You can also correspond with Jennifer Gunderson through the mailing address at PO BOX 431, JANESVILLE, WI - 53547-0431 (mailing address contact number: 405-696-7932).

Location: 1969 W Hart Rd, Beloit, WI, 53547-0431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366175986
Provider Name
Jennifer Gunderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1969 W Hart Rd, Beloit, WI, 53547-0431
Phone Number
608-364-5011
Fax Number
Provider Enumeration Date
07/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1969 W Hart Rd
City
Beloit
State
Wisconsin
Zip
53511-2230
Phone Number
608-364-5011
Fax Number
person
Provider Business Mailing Address Details
Address
1969 W Hart Rd
City
Beloit
State
Wisconsin
Zip
53511-2230
Phone Number
608-364-5011
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
7374-23 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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