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Individual

GARY G. GANSERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4100
Mailing address
PO BOX 11276, RENO, NV 89510-1276
(775) 324-4040

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3204
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
3204
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201660007
NV
01
930104798
RAILROAD MEDICARE
NV
01
CC3680
BC/BS
NV
Enumeration date
03/17/2006
Last updated
02/05/2018
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