Organization
NATALIE GANCERES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE GANCERES (AUTHORIZED REPRESENTATIVE)
(972) 488-8926
Entity
Organization
Contact information
Practice address
6757 ARAPAHO, SUITE 711, PMB 335, DALLAS, TX 75248-4073
(972) 488-8926
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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