GUNDERSEN CLINIC LTD
1836 South Ave
La Crosse, WI 54601
608-775-5595
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | WI | 4884 |
N | 3336C0003X | Suppliers - Pharmacy | ||
Y | 3336C0002X | Suppliers - Pharmacy | MN | 263208 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2112770 | OTHER | |
33096300 | WI | MEDICAID |