Individual
MRS. ANNA ELISE GANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W MAIN ST STE C, BELLEVUE, OH 44811-9088
(419) 484-5903
Mailing address
1400 W MAIN ST STE C, BELLEVUE, OH 44811-9088
(419) 484-5903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0033528
OH
Other
Enumeration date
03/22/2023
Last updated
10/19/2023
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