NPI 1962768325 · live from the CMS NPI Registry
Zackary Bryan Gangwer, D.P.M.
Podiatrist, Foot & Ankle Surgery in Norfolk, NE. National Provider Identifier 1962768325, active.
NPI record
| NPI | 1962768325 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2701 W Norfolk Ave, Norfolk, NE 68701 |
| Practice phone | 402-844-8158 |
| Mailing address | 301 N 27th St, Ste 5, Norfolk, NE 68701 |
| Enumerated | April 10, 2012 |
| Last updated | March 8, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 356 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.