Zackary Bryan Gangwer D.P.M.

NPI 1962768325 - Podiatrist - 213E00000X

NPI Details
NPI 1962768325
Gender Male
Enumeration Date 04/10/2012
Last Updated 06/15/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
109 N 29TH ST
STE 1
NORFOLK NE, 68701-3251, US
Phone (402) 844-8366
Fax
Business Location
109 N 29TH ST
STE 1
NORFOLK NE, 68701-3251, US
Phone (402) 844-8366
Fax (970) 828-1666
Toxanomy
Taxonomy Code 213E00000X
License State Colorado
License Number 748
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According to our database, Dr. Zackary Bryan Gangwer D.P.M. NPI is 1962768325, taxonomy code is 213E00000X and license number is 748, license state is located at Colorado. Zackary Bryan Gangwer D.P.M. physically located at 109 N 29th St, Norfolk NE, 68701-3251. NPI Number Zackary Bryan Gangwer D.P.M. has the Individual type.

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1962768325 NPI number is provided on an as is basis without warranty of any kind. 1962768325 is maintained by the National Plan & Provider Enumeration System. The contents of Zackary Bryan Gangwer D.P.M. are for informational purposes only.