Individual
MICHAEL GANZORIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MOSAIC COURT, ST JOSEPH, MO 64506
(816) 235-1808
Mailing address
4424 EUCLID AVE APT 1B, ROLLING MEADOWS, IL 60008-1942
(847) 530-3118
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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