Individual
GARY GANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
804 KENYON RD, SUITE 310, FORT DODGE, IA 50501-5742
(515) 574-6880
Mailing address
804 KENYON RD, SUITE 310, FORT DODGE, IA 50501-5742
(515) 574-6880
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
078754
IA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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