Provider Demographics
NPI:1376667725
Name:TONSKAMPER, GUDRUN KLARA (ND)
Entity Type:Individual
Prefix:DR
First Name:GUDRUN
Middle Name:KLARA
Last Name:TONSKAMPER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 MARTIN DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTH SURREY
Mailing Address - State:BC
Mailing Address - Zip Code:V4A6E7
Mailing Address - Country:CA
Mailing Address - Phone:604-536-1400
Mailing Address - Fax:604-536-1455
Practice Address - Street 1:1676 MARTIN DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTH SURREY
Practice Address - State:BC
Practice Address - Zip Code:V4A6E7
Practice Address - Country:CA
Practice Address - Phone:604-536-1400
Practice Address - Fax:604-536-1455
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000462175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath