Gunderson, Katherine E.

Gunderson, Katherine E. is an individual health care provider with primary practice located at 3400 Deerfield Dr , Janesville WI 53546-3557. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gunderson, Katherine E. can be contacted via phone (608) 314-3600.

Contact Information

Primary practice address
3400 Deerfield Dr Janesville WI 53546-3557
Phone: (608) 314-3600
Fax: (608) 314-3601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3892-23 Wisconsin

Profile Details

NPI number 1396293890
LBN Legal business name Gunderson, Katherine E.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2016
Last updated Jul 13th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396293890 NPPES
Wisconsin MEDICAID 1396293890

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