Organization
WILLIAM F. GANZ MD FACS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUANN GANZ (OFFICE MANAGER)
(208) 664-5467
Entity
Organization
Contact information
Practice address
2236 N MERRIT CREEK LOOP, SUITE A, COEUR D ALENE, ID 83814-4960
(208) 664-5467
(208) 765-4696
Mailing address
2236 N MERRIT CREEK LOOP, SUITE A, COEUR D ALENE, ID 83814-4960
(208) 664-5467
(208) 765-4696
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M8313
ID
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8060855
—
ID
05
—
8073659
—
ID
01
—
DC5047
RR MEDICARE
—
Enumeration date
03/13/2007
Last updated
05/04/2015
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