Individual
DR. MICHAEL R GANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
(406) 442-6410
Mailing address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-55047
MT
Other
Enumeration date
08/14/2019
Last updated
08/15/2019
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