| Organization Name: | GANZ ALLERGY & ASTHMA CENTER SC |
| NPI Number: | 1013090901 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY J DEAN (ADMINISTRATOR) |
| Mailing Address: | 1515 S Greenbay Rd Racine |
| State: | WI US |
| Postal Code: | 534064409 |
| Phone Number: | 2628846080 |
| Fax Number: | 2628846090 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 08/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |