Organization
GANZ ALLERGY & ASTHMA CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY J DEAN (ADMINISTRATOR)
(800) 485-8640
Entity
Organization
Contact information
Practice address
1515 S GREENBAY RD, RACINE, WI 53406-4409
(262) 884-6080
(262) 884-6090
Mailing address
1515 S GREENBAY RD, RACINE, WI 53406-4409
(262) 884-6080
(262) 884-6090
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/03/2011
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