| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARK ALLEN GUNDLACH | 1992117543 | 2023-02-12 |
Mark Allen Gundlach [M] graduated in 2011 and primarily specializes in Chiropractic.
Mark Allen Gundlach is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992117543. Registration indicates Mark Allen Gundlach is a provider of services with a specialization in Chiropractic Providers, Chiropractor (Chiropractor, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Chiropractor, Chiropractic Providers)
| PECOS ID | 8820218829 |
| Entity Type | Individual |
| Provider Name | Dr. Mark Allen Gundlach D.C. |
| Practice Office Address | 480 N FRANKLIN AVE COLBY, KS US |
| Practice Office Telephone | 7854433621 |
| Mailing Address | 480 N FRANKLIN AVE COLBY, KS 677012326 US |
| Business Telephone | 7854433621 |
| Code | Practice | License No State |
|---|---|---|
| 111N00000X PRIMARY | Chiropractic Providers Chiropractor Chiropractor Speech/Occupational/Physical Therapy/Chiropractor Chiropractor Chiropractic Providers | 01-05631
KS |