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Individual

MICHAEL A GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
12000 ELM CREEK BLVD N, #140, MAPLE GROVE, MN 55369-7073
(763) 420-7048
(763) 420-7938
Mailing address
12000 ELM CREEK BLVD N, #140, MAPLE GROVE, MN 55369-7073
(763) 420-7048
(763) 420-7938

Taxonomy

Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
R097728-5
MN

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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