Individual
DR. MICHAEL T GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 S CRYSTAL ST, SUITE 400, BUTTE, MT 59701-1515
(406) 496-3400
(406) 496-3401
Mailing address
435 S CRYSTAL ST, SUITE 400, BUTTE, MT 59701-1515
(406) 496-3400
(406) 496-3401
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8086
MT
207XX0801X
Orthopaedic Trauma Physician
8086
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011741
BLUE CROSS BLUE SHIELD
MT
05
—
0019552
—
MT
01
—
0112266
MONTANA STATE IAB
MT
Enumeration date
10/17/2006
Last updated
02/18/2021
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