NPI 1992170856 · live from the CMS NPI Registry
Gary Gansen, DPM
Podiatrist, Foot & Ankle Surgery in Fort Dodge, IA. National Provider Identifier 1992170856, active.
NPI record
| NPI | 1992170856 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 804 Kenyon Rd, Suite 310, Fort Dodge, IA 50501 |
| Practice phone | 515-574-6880 |
| Enumerated | December 3, 2015 |
| Last updated | December 3, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 078754 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.