Individual
CARLO GALLO GAANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 NORTH DRIVE, WINNEBAGO, WI 54985
(920) 426-4310
(920) 236-4199
Mailing address
PO BOX 166, WINNEBAGO, WI 54985
(920) 426-4310
(920) 236-4199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44853020
WI
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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