Individual
THERESA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4 COLUMBUS AVE, BAY CITY, MI 48708-6457
(989) 393-2777
Mailing address
4 COLUMBUS AVE, BAY CITY, MI 48708-6457
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN188556
AZ
207Q00000X
Family Medicine Physician
2396115249
MI
363L00000X
Nurse Practitioner
Primary
4704239694
MI
Other
Enumeration date
12/09/2015
Last updated
08/23/2023
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