Individual
DR. GREGORY GANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2101 CHAPLINE ST, WHEELING, WV 26003-3855
(304) 233-3240
(304) 233-4176
Mailing address
2101 CHAPLINE ST, WHEELING, WV 26003-3855
(304) 233-3240
(304) 233-4176
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1159
WV
207N00000X
Dermatology Physician
34005620
OH
207N00000X
Dermatology Physician
OS006564L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042262000
—
WV
05
—
0889865
—
OH
Enumeration date
03/21/2007
Last updated
07/08/2007
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