Individual
ANNELIESE ROSE GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 N 17TH ST, MILWAUKEE, WI 53233-2104
(414) 288-0607
Mailing address
507 N 17TH ST, MILWAUKEE, WI 53233-2104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8674
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508752940
—
WI
Enumeration date
06/13/2025
Last updated
12/05/2025
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