Individual
CORRINE M GANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
840 E UNIVERSITY AVE, DES MOINES, IA 50316-2304
(515) 265-4211
(515) 309-5993
Mailing address
840 E UNIVERSITY AVE, DES MOINES, IA 50316-2304
(515) 265-4211
(515) 309-5993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-24154
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218065
—
IA
05
—
1710947346
—
IA
Enumeration date
03/27/2006
Last updated
03/11/2015
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