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

Drew Gunderson, MD

Individual provider Family Medicine Physician · NPI 1407435019

Drew Gunderson, MD is a Family Practice in South Milwaukee, Wisconsin. Qualified in 2021, 5 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
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

3611 S Chicago Ave
South Milwaukee, WI 53172-3738
Phone: (414) 762-7270
Fax: (414) 762-7864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 W Kinnickinnic River Pkwy Ste 250, Milwaukee, WI 53215-3678 — (414) 649-6732

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 77906-20 (WI)

Record details

NPI number1407435019
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in South Milwaukee