Individual
BRIAN LEE GANZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, SUITE 1200, LOUISVILLE, KY 40202-3841
(502) 583-8383
(502) 561-2190
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
23080
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100347700
—
IN
05
—
64230808
—
KY
Enumeration date
05/26/2006
Last updated
04/06/2016
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