Individual
DR. MATTHEW J GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
502 GREENE AVE, GREEN BAY, WI 54301-2820
(920) 884-9308
Mailing address
2317 WOODROW WAY, GREEN BAY, WI 54301-2144
(920) 884-9308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4055
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38957500
—
WI
Enumeration date
10/18/2006
Last updated
07/08/2007
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