Individual
MICHAEL J GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 INVESTMENT DR, SUITE 200, TROY, MI 48098-6365
(248) 267-5050
(248) 267-5051
Mailing address
4600 INVESTMENT DR, SUITE 200, TROY, MI 48098-6365
(248) 267-5050
(248) 267-5051
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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