Individual
JOSEPH JEROLD GANSHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 MEDICAL CENTER RD, FORT CAVAZOS, TX 76544
(254) 553-3944
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-3479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-20438
HI
208D00000X
General Practice Physician
MD-20438
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
08/28/2023
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