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1780639625
MATTHEW GANSEMER
ELKHART, IN
NPI
1780639625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IN 28143605)
Enumeration Date
2006-05-22
Last Update Date
2007-07-08
Business Address
-- MATTHEW GANSEMER CRNA
500 N NAPPANEE ST SUITE 11B
ELKHART, IN 46514-1503
Phone number: 574-522-9922
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Mailing Address
-- MATTHEW GANSEMER CRNA
541 OTIS BOWEN DR
MUNSTER, IN 46321-4158
Phone number: 219-934-5300
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