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institution
Gundersen Lutheran Medical Center Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tomah, Wisconsin
NPI 1972846087

Gundersen Lutheran Medical Center Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in La Crosse, WI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Gundersen Lutheran Medical Center Inc practices in Tomah, WI. The NPI Number for Gundersen Lutheran Medical Center Inc is 1972846087 and holds a License No. (Wisconsin).

The current practice location address for Gundersen Lutheran Medical Center Inc is 505 Gopher Dr Ste B, Tomah, WI and can be reached out via phone at 608-782-7300. You can also correspond with Gundersen Lutheran Medical Center Inc through the mailing address at 1910 SOUTH AVE, LA CROSSE, WI - 54601-5467 (mailing address contact number: 608-782-7300).

Location: 505 Gopher Dr Ste B, Tomah, WI, 54601-5467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972846087
Provider Name
Gundersen Lutheran Medical Center Inc
Credential
Provider Entity Type
Organization
Address
505 Gopher Dr Ste B, Tomah, WI, 54601-5467
Phone Number
608-782-7300
Fax Number
Provider Enumeration Date
03/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42050900 05 WI
institution
Provider Business Practice Location Address Details
Address
505 Gopher Dr Ste B
City
Tomah
State
Wisconsin
Zip
54660-4513
Phone Number
608-782-7300
Fax Number
person
Provider Business Mailing Address Details
Address
505 Gopher Dr Ste B
City
Tomah
State
Wisconsin
Zip
54660-4513
Phone Number
608-782-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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