Individual
DR. ADRIAN PETER GANSEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4660 W COLLEGE AVE, APPLETON, WI 54913-8507
(920) 730-0345
(920) 954-0155
Mailing address
4660 W COLLEGE AVE, APPLETON, WI 54913-8507
(920) 730-0345
(920) 954-0155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3824-15
WI
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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