DR. GARY EDWIN GUNDERSON


Address: 702 Sw 5th St, Brainerd, MN 56401-3997
Phone: 2184546369

DR. GARY EDWIN GUNDERSON (NPI# 1093835159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093835159
Entity Type Individual
Full Name DR. GARY EDWIN GUNDERSON
Credential ED. D, MS LP
Practice Address 702 Sw 5th St
Brainerd
MN 56401-3997
Mailing Address 28022 County Road 107
Pequot Lakes
MN 56472-3312
Practice Telephone 2184546369
Mailing Telephone 2188382448
Enumeration Date 2007-03-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
LP2801 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN PR ONE 1012381 01
MN HP 25543 01
MN UBH 62-47591 01
MN BHP 150743 01
MN BCBS 4K588GU 01

Other Providers GARY GUNDERSON

NPI Name Taxonomy Address Enumeration
1699768135 Gary G Gunderson Optometrist 3241 S Michigan Ave, Chicago, IL 60616-3849 2005-08-30

Office Location

Street Address 702 SW 5TH ST
City BRAINERD
State MN
Zip Code 56401-3997

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396222832 Nicholas James Manning Physical Therapist 7350 Clearwater Rd N, Baxter, MN 56401 2018-07-27
1952819757 Hannah Marie Darabi Physical Therapist Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 2018-01-15
1154867406 Nancy Ann Schauer Social Worker 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 2017-01-10
1336530310 Audrey Jean Twit Pharmacist 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 2015-02-11
1245638584 The Renneke Chiropractic Clinic Physical Therapist 623 Madison St., Brainerd, MN 56401 2014-12-19
1124420179 Jenna Niggeler Acupuncturist 1001 Kingwood St Ste 119a, Brainerd, MN 56401 2014-09-22
1073933719 Nicholas Adam Lesmeister Orthopaedic Surgery 2014 South 6th Street, Brainerd, MN 56401 2014-04-21
1073864666 Jennifer L. Owens Marriage & Family Therapist 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 2012-09-24
1619297447 Christine Elaine Smalling Licensed Practical Nurse 6317 Estate Circle Drive, Brainerd, MN 56401 2010-06-03
1528241577 Dannia Lor Vang Pharmacist 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 2007-12-13
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083782486 Ruth Ann Schaefer Psychologist 115 1st Street N, Brainerd, MN 56401 2006-12-01
1710033279 Caroline Jane Bad Heart Bull Psychologist 523 N 3rd St, Brainerd, MN 56401-3054 2007-01-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497355275 Paul Franklin Singh Psychologist 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 2020-10-29
1639779127 Abdifatah Nuuh Psychologist 4204 16th Ave S, Minneapolis, MN 55407-3312 2020-10-26
1134732514 Colleen Cashen Psychologist 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 2020-08-26
1295357440 Pure Potential Counseling Psychologist 18685 Dylan Dr, Farmington, MN 55024-7070 2020-05-11
1871115337 Melissa Jean King Psychologist 205 W 2nd St Ste 437, Duluth, MN 55802-1922 2020-05-07
1841811296 Kristen Math X Psychologist 1603 Pebble Creek Dr, Sartell, MN 56377-4538 2020-04-27
1245859982 Thomas Allen Psychologist 12 Valley View Pl, Mankato, MN 56001-2500 2020-04-13
1033749163 Neurocalm, LLC Psychologist 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 2020-01-16
1457999500 Megan Robb Psychologist 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 2019-12-18
1821635723 Leadership Coaching Institute LLC Psychologist 1264 Garden St, Ogilvie, MN 56358-3520 2019-12-10
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Competitor

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City BRAINERD
Zip Code 56401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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