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Individual

RICHARD W GANZHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
511 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783
(906) 632-4740
(906) 632-6505
Mailing address
511 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1850
(906) 632-4740
(906) 632-6505

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301045548
MI

Other

Enumeration date
04/03/2006
Last updated
01/29/2008
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