DR. GARY EDWIN GUNDERSON (ED. D, MS LP) – Counseling Psychologist, NPI 1093835159

DR. GARY EDWIN GUNDERSON (ED. D, MS LP) is a healthcare provider. based in Pequot lakes, Minnesota. specializing in Counseling Psychologist. They hold the professional credentials ED. D, MS LP. They hold a License No. LP2801 (MN). The NPI Number for DR. GARY EDWIN GUNDERSON (ED. D, MS LP) is 1093835159

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY EDWIN GUNDERSON (ED. D, MS LP)
NPI
1093835159
Phone
(218) 838-2448
Address
28022 COUNTY ROAD 107
Enumeration Date
30 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188941515
Graduation Year
1990 (36 years ago)
PAC ID
7810276771
Group Practice PAC ID
1052229671
Professional Enrollment ID
I20161116001863
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. GARY EDWIN GUNDERSON (ED. D, MS LP)

  • 28022 COUNTY ROAD 107

    PEQUOT LAKES, MN 564723312

    Phone: (218) 838-2448

    Type: Mailing

  • 702 SW 5TH ST

    BRAINERD, MN 564013997

    Phone: (218) 454-6369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56472)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052229671View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical Social WorkerMN
Family PracticeMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Internal Medicine, Pulmonary Disease, Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists)IA
O B S T E T R I C S/ G Y N E C O L O G YMN
Emergency Medicine, Family PracticeMN
Diagnostic RadiologyMN
Family PracticeMN

Reviews

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Frequently asked questions

What identifier follows DR. GARY EDWIN GUNDERSON (ED. D, MS LP) across health systems?
The NPI 1093835159 uniquely identifies DR. GARY EDWIN GUNDERSON (ED. D, MS LP) in U.S. healthcare data.
Is DR. GARY EDWIN GUNDERSON (ED. D, MS LP)'s NPI status active today?
Active status means DR. GARY EDWIN GUNDERSON (ED. D, MS LP)'s NPI record is not deactivated in the public file.
How should patients interpret DR. GARY EDWIN GUNDERSON (ED. D, MS LP)'s specialty?
The extract shows Counseling Psychologist for DR. GARY EDWIN GUNDERSON (ED. D, MS LP). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. GARY EDWIN GUNDERSON (ED. D, MS LP)?
DR. GARY EDWIN GUNDERSON (ED. D, MS LP) shows a connection to Pequot Lakes, Minnesota in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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