Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mitchell Kelly Edquist, MD

Individual provider Diagnostic Radiology Physician · NPI 1710440821

Dr. Mitchell Kelly Edquist, MD is a Diagnostic Radiology in LA Crosse, Wisconsin. Qualified in 2019, 7 years ago. Practices with Gundersen Clinic Ltd, a 427-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Wisconsin.

Years since qualifying
7
Licensed in
NC, WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Erwin Rd, Durham, NC 27705-4699 — (919) 684-8111

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 83308-20 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2024-00266 (NC)

Record details

NPI number1710440821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Gundersen Clinic Ltd — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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