Individual
VAISHALI S GALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
(920) 496-4705
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007025198
MO
207R00000X
Internal Medicine Physician
Primary
48393-20
WI
Other
Enumeration date
06/26/2006
Last updated
09/20/2016
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