Individual
MARY M GALLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
22848
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160015413
RAILROAD MEDICARE
MN
05
—
576519600
—
MN
Enumeration date
01/12/2006
Last updated
09/02/2014
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