Individual provider · Type 1 NPI

Jennifer Gunderson

Medical Physician Assistant · Beloit, WI

NPI number 1366175986 Active

Practice location

1969 W Hart Rd
Beloit, WI 53511-2230

Call (608) 364-5011 Map

Mailing address

PO Box 431
Janesville, WI 53547-0431

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X7374-23 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1366175986

Jennifer Gunderson's National Provider Identifier is 1366175986, issued on Jul 1, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beloit, WI. The record was last updated on Jan 30, 2024.