Individual
DR. MARK A GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
295 MAPLE ST, SUITE 200, TAWAS CITY, MI 48763-9352
(989) 984-3788
Mailing address
295 MAPLE ST, SUITE 200, TAWAS CITY, MI 48763-9352
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MG010486
MI
Other
Enumeration date
09/07/2005
Last updated
05/23/2013
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