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DR. MICHAEL A GANZ MD

Allergy

Racine, Wisconsin

Provider NPI: 1043217052

Provider Information:
DR. MICHAEL A GANZ MD


Practice Location:
1515 S GREEN BAY RD  RACINE, WI 53406 US
Tel: 262-884-6080  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
WI31840

Other Provider Identifiers:

IssuerNumberStateType
31709900WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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