Individual
MICHAEL J GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1515
(765) 751-5087
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-4171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01080523A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300017889
—
IN
01
—
M122404074
MEDICARE PTAN
IN
Enumeration date
05/14/2014
Last updated
10/10/2025
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