Individual
JOSEPH GANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1626 N SPRING ST, BEAVER DAM, WI 53916-1283
(920) 356-0122
Mailing address
1626 N SPRING ST, BEAVER DAM, WI 53916-1283
(920) 356-0122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12809
WI
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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