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NPI Code Detail

MEDICARE: AMY LOUISE GUNDERSON-MCNEIL D.C.

MEDICARE:   AMY LOUISE GUNDERSON-MCNEIL  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4411MN

General Provider Information

NPI Number : 1295728145
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LOUISE GUNDERSON-MCNEIL D.C.
Provider Business Mailing Address
First Line : 3229 90TH AVE
Second Line :
City : PRINCETON
State : MN
Zip : 55371-6151
Country : US
Telephone Number : 123-065-5506
Fax Number :
Provider Business Practice Location Address
First Line : 3229 90TH AVE
Second Line :
City : PRINCETON
State : MN
Zip : 55371-6151
Country : US
Telephone Number : 612-306-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 01/27/2025

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Directions to “ AMY LOUISE GUNDERSON-MCNEIL D.C.” Practice Location

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