| Gundersen Clinic, Ltd. | |
|
610 E Taylor St Prairie Du Chien WI 53821-2109 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Gundersen Clinic, Ltd. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 610 E Taylor St, Prairie Du Chien, Wisconsin |
| Authorized Official Name and Position | Kari B Adank (CCO) |
| Authorized Official Contact | 6087758025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Clinic, Ltd. 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | Gundersen Clinic, Ltd. 610 E Taylor St Prairie Du Chien WI 53821-2109 Ph: (608) 782-7300 |
| NPI Number | 1700821725 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 08/06/2021 |
| Certification Date | 08/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700821725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Crawford County Ccs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 N Beaumont Rd, Suite 326, Prairie Du Chien, WI 53821 Phone: 608-326-0248 Fax: 608-326-4395 |