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Individual

MICHAEL J GALLAGHER

Active
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Individual

MICHAEL J GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301070017
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0606350251
BLUE CROSS BLUE SHIELD OF MI
MI
05
4879530
MI
01
P00321218
MEDICARE RAILROAD
MI
Enumeration date
03/24/2006
Last updated
05/20/2008
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