Individual
MICHELE ANN GANSHIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1690 ELM ST STE 300, DUBUQUE, IA 52001-3679
(563) 690-2850
(563) 557-8488
Mailing address
1500 DELHI ST STE 3500, DUBUQUE, IA 52001-6321
(563) 557-3900
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C074700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11349
DEAN HEALTH PLAN
IA
01
—
67374
HAWK-I
IA
01
—
9520
MIDLAND'S CHOICE
IA
01
—
IA0113
JOHN DEERE HEALTH PLAN
IA
Enumeration date
01/11/2006
Last updated
06/02/2021
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