Individual
WILLIAM GANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 569-7316
(805) 569-7317
Mailing address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
167175
CA
2086S0102X
Surgical Critical Care Physician
167175
CA
Other
Enumeration date
07/19/2018
Last updated
08/07/2024
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