Dr. Gary E. Gunderson ED. D, MS LP
Counseling Psychologist in Brainerd, MN(View on Map)
Full Name
Dr. Gary Edwin Gunderson ED. D, MS LP
NPI Number
1093835159
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/30/2007
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
LP2801
Contact
Information
Purpose
Mailing
Location
Address
28022 COUNTY ROAD 107
702 SW 5TH ST
City
Pequot Lakes
Brainerd
State
MN
MN
Postal Code
56472-3312
56401-3997
Country
US
US
Telephone Number
(218) 838-2448
(218) 454-6369
Identifiers
Identifier
1012381
4K588GU
150743
62-47591
25543
Identifier State
MN
MN
MN
MN
MN
Identifier Issuer
PR ONE
BCBS
BHP
UBH
HP
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007