Individual
DR. REBECCA Z GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4607 VETTELSON ROAD, HARTLAND, WI 53029
(262) 367-1717
Mailing address
32645 WEST ESKER LN, NASHOTAH, WI 53058
(262) 367-1717
(262) 458-4547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50254
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063583300
—
WI
Enumeration date
11/10/2006
Last updated
09/11/2020
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