Unknown Individual – Pediatrics Physician, NPI 1790789584
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States
LA CROSSE, WI 546015429
Phone: (608) 782-7300
Type: Mailing
Gundersen Lutheran Medical Center Onalaska, 3111, Gundersen Drive, Onalaska, La Crosse County, Wisconsin, 54650, United States
ONALASKA, WI 546508512
Phone: (608) 796-8630
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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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54601)
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