Individual
KATHRYN EILEEN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
54209-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100009513
—
WI
Enumeration date
05/04/2010
Last updated
11/10/2023
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