Mary Lundgren
Orthopaedic Spine Surgeon
3033 W Layton Ave
Greenfield
, Wisconsin 53221-2628
Mary Lundgren
Orthopaedic Spine Surgeon
3033 W Layton Ave
Greenfield
, Wisconsin 53221-2628
(414) 817-3928
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Mary Lundgren
- 3033 W Layton Ave
- Greenfield, WI
- Zip : 53221-2628
- Fax : (414) 817-3928
- Phone : (414) 817-3936
Second Address
- Mary Lundgren
- 3033 W Layton Ave
- Greenfield, WI
- Zip : 53221-2628
- Fax : (414) 817-3928
- Phone : (414) 817-3936
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 73026-21 | WI |
National Provider Identifier
| NPI | 1386061844 |
|---|---|
| Provider Name | Mary Lundgren |
| First Address | Greenfield, WI 53221-2628 |
| Second Address | Greenfield, WI 53221-2628 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2014 |
| Last Update Date | 16/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.