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NPI Code Detail

MEDICARE: MICHAEL APPELL GANZ MD

MEDICARE: MICHAEL APPELL GANZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistC42577CA

General Provider Information

NPI Number : 1699721712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL APPELL GANZ MD
Provider Business Mailing Address
First Line : 1287 FULTON RD
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4923
Country : US
Telephone Number : 707-543-2400
Fax Number :
Provider Business Practice Location Address
First Line : 1287 FULTON RD
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4923
Country : US
Telephone Number : 707-543-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/08/2007

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