ZACKARY B GANGWER

FAITH REGIONAL PHYSICIAN SERVICES LLC

Dr ZACKARY B GANGWER is a male medical professional, specializing in Podiatry. He graduated in 2011.

Contact

FAITH REGIONAL PHYSICIAN SERVICES LLC

2700 W NORFOLK AVE
NORFOLK
NE
687014438

Tel: 4028448135

ZACKARY B GANGWER Information

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
Secondary Specialty 3
Secondary Specialty 4
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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