Individual ProviderJoshua GanglPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10625 W North Ave Ste 102, Wauwatosa, WI 53226-2315(414) 877-5350(320) 828-1263PECOS EnrollmentBased on the most recent information from CMS, provider Joshua Gangl is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1861019960Provider TypeIndividualFull NameGangl, JoshuaGenderMaleSole ProprietorYesEnumeration Date7/6/2020Last Updated10/14/2021Contact InformationPractice LocationPractice Address10625 W North Ave Ste 102, Wauwatosa, WI 53226-2315Phone(414) 877-5350FaxUnlisted FaxMailing LocationMailing Address141 N Jefferson St Apt 405, Milwaukee, WI 53202-6146Phone(320) 828-1263FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer