DR. MARY L. GANZ D.O.
NPI 1912929803
Pediatrics - Adolescent Medicine in Brookfield, WI

Q: What is Mary Ganz's NPI number?

The NPI number for Mary Ganz is 1912929803. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Q: What is Mary Ganz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ganz was last updated on March 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2006

1290 BETSY ROSS CT, BROOKFIELD, WI 53045(262) 796-0203 Get Directions Write a Review

NPPES record last updated: March 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mary L. Ganz D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY L. GANZ D.O. (NPI 1912929803) is an individual adolescent medicine provider in Brookfield, Wisconsin, licensed in Wisconsin (29009) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912929803

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. MARY L. GANZCredential: D.O.

Location Address1290 BETSY ROSS CTBrookfield, WI 53045-5362

Mailing Address1290 Betsy Ross CtBrookfield, WI 53045-5362

Phone(262) 796-0203

Sole ProprietorNo

Enumeration DateJuly 23, 2006

Last NPPES UpdateMarch 14, 2011

✔ NPI 1912929803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in WI · 29009

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1290 BETSY ROSS CT, Brookfield, WI 53045

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Other Identifiers 1

Medicare UPINB52981

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ganz's NPI number?

The NPI number for Mary Ganz is 1912929803. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Mary Ganz located?

Mary Ganz practices at 1290 Betsy Ross Ct, Brookfield, WI 53045. The listed phone number is (262) 796-0203.

What is Mary Ganz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Mary Ganz was last updated on March 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.