Doctor Name: | AMY LOUISE GUNDERSON-MCNEIL |
NPI Number: | 1295728145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 4411 |
Business Practice Address: | 1061 Highway 23 Suite 104 Foley, MN - 563299109 |
Business Phone Number: | 3209686023 |
Business Fax Number: | 3209686206 |
Mailing Address: | 1061 Highway 23, Po Box 426 FOLEY |
State: | MN |
Postal Code: | 563299109 |
Phone Number: | 3209686023 |
Fax Number: | 3209686206 |
NPI Enumeration Date: | 08/25/2005 |
NPI Last Update Date: | 04/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |