Dr ZACKARY B GANGWER is a male medical professional, specializing in Podiatry. He graduated in 2011.
FAITH REGIONAL PHYSICIAN SERVICES LLC
2700 W NORFOLK AVE
NORFOLK
NE
687014438
Tel: 4028448135
Npi | 1962768325 |
Pac Id | 6305068636 |
Professional Enrollment Id | I20150702000245 |
Last Name | GANGWER |
First Name | ZACKARY |
Middle Name | B |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2011 |
Primary Specialty | PODIATRY |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
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All Secondary Specialties | |
Organization Legal Name | FAITH REGIONAL PHYSICIAN SERVICES LLC |
Group Practice Pac Id | 5193786168 |
Number Of Group Practice Members | 130 |
Line 1 Street Address | 2700 W NORFOLK AVE |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | NORFOLK |
State | NE |
Zip Code | 687014438 |
Phone Number | 4028448135 |
Hospital Affiliation Ccn 1 | 281343 |
Hospital Affiliation Lbn 1 | WEST HOLT MEMORIAL HOSPITAL |
Hospital Affiliation Ccn 2 | 281345 |
Hospital Affiliation Lbn 2 | PROVIDENCE MEDICAL CENTER |
Hospital Affiliation Ccn 3 | 280125 |
Hospital Affiliation Lbn 3 | FAITH REGIONAL HEALTH SERVICES |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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