Individual
THOMAS GANSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(317) 502-9920
Mailing address
147 E COLD HOLLOW FARMS DR, MOORESVILLE, NC 28117-6725
(317) 502-9920
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012-00515
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200205180
—
IN
Enumeration date
08/01/2006
Last updated
09/08/2014
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