Individual
RANDALL J GALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-4467
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-4467
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
17767
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31106700
—
WI
Enumeration date
06/17/2005
Last updated
07/08/2007
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