Lincoln H Gundersen, MD
Radiology, Vascular & Interventional Radiology in La Crosse, WI. Individual provider (NPI-1).
NPI number1811993066
StatusActive
Last updated in NPPESSep 22, 2015
Details
- NPI
- 1811993066
- Entity type
- Individual (NPI-1)
- Name
- Lincoln H Gundersen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2005
- Last updated
- Sep 22, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 28234 | WI | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 44702 | MN | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 34334 | IA |
Practice location
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Vascular & Interventional Radiology Physician providers in La Crosse, WI
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All 6 Vascular & Interventional Radiology Physician providers in La Crosse · All 4,035 providers in La Crosse
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