Wendsore I Gansore

NPI #1306643317 in Omaha, Nebraska

Provider Information

NPI Number: 1306643317
Entity Type: Individual
Name: Wendsore I Gansore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 26, 2025
Last Updated: Feb 26, 2025

Practice Location

Address: 13808 HILLSBOROUGH DR
City: Omaha
State: Nebraska
ZIP Code: 68164-5060
Phone: (402) 419-9419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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