Individual
DR. MICHAEL LEE GALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 S HEBRON AVE, EVANSVILLE, IN 47714-4086
(812) 473-1111
Mailing address
920 S HEBRON AVE, EVANSVILLE, IN 47714-4086
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20757
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255040-00
—
NE
Enumeration date
01/23/2006
Last updated
06/22/2022
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