Organization
WILLIAM F. GANZ MD FACS PLLC
Active
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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