Individual
PETER GALLAGHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
(219) 769-2508
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01059467A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342636
ANTHEM BC/BS
IN
Enumeration date
09/08/2005
Last updated
07/08/2007
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