Individual
GARY J GALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46231-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043809
PHYSICIANS PLUS
WI
05
—
34447600
—
WI
01
—
60222
DEAN HEALTH INSURANCE
WI
Enumeration date
05/08/2006
Last updated
11/27/2023
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