Rebecca M Ganzow-fortier P.A.-C

NPI 1194812180 - Physician Assistant - 363A00000X

NPI Details
NPI 1194812180
Gender Female
Enumeration Date 10/10/2006
Last Updated 03/28/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3200 E RACINE ST
JANESVILLE WI, 53546-2343, US
Phone (608) 371-8000
Fax (608) 371-8945
Business Location
3200 E RACINE ST
JANESVILLE WI, 53546-2343, US
Phone (608) 371-8000
Fax (608) 371-8945
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 3068-023
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According to our database, Rebecca M Ganzow-fortier P.A.-C NPI is 1194812180, taxonomy code is 363A00000X and license number is 3068-023, license state is located at Wisconsin. Rebecca M Ganzow-fortier P.A.-C physically located at 3200 E Racine St, Janesville WI, 53546-2343. NPI Number Rebecca M Ganzow-fortier P.A.-C has the Individual type.

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1194812180 NPI number is provided on an as is basis without warranty of any kind. 1194812180 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca M Ganzow-fortier P.A.-C are for informational purposes only.