Dr. Mark R. Gundersen MD
Family Medicine Physician in Fergus Falls, MN(View on Map)
Full Name
Dr. Mark R Gundersen MD
NPI Number
1952390106
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/20/2005
Specialties
(Taxonomies)Licenses
State
Michigan
Minnesota
License Number
4301069187
35677
Contact
Information
Purpose
Mailing
Location
Address
1216 RYANS RD
712 SOUTH CASCADE STREET
City
Worthington
Fergus Falls
State
MN
MN
Postal Code
56187-1722
56537-2813
Country
US
US
Telephone Number
(507) 372-2921
(218) 736-8000
Identifiers
Identifier
080093188
4540600
5659321
010G56026
0802502771
080D410020
204375
F31478
204375
Unknown
Unknown
Unknown
Unknown
Identifier State
MI
MI
MI
MI
MI
MI
MI
MI
MI
Unknown
Unknown
Unknown
Unknown
Identifier Issuer
METRAHEALTH
Unknown
AETNA
HEALTH PLUS
BLUE CROSS BLUE SHIELD
BLUE CROSS BLUE SHIELD
MCLAREN HEALTH PLAN
HEALTH NET FEDERAL
HEALTH ADVANTAGE NETWORK
Unknown
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/29/2019
Provider Address
Other Family Medicine Physicians in Fergus Falls, Minnesota:
Michael Vanvalkenburg MD
Fergus Falls, MNSpecialties: Emergency Medicine Physician (Primary)Family Medicine Physician
David Ellison MD
Fergus Falls, MNSpecialties: Family Medicine Physician (Primary)Emergency Medicine Physician