Search › Minnesota › 111N00000X
Jacob Gunderson, DC, ATC
NPI 1780157669 · on the registry since 2019
Practice
- Address
- 19260 Evans St Nw
Elk River, MN 55330 - Phone
- (763) 441-7788
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 2255A2300X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota