Individual
BERNARD JAMES GALLENBERG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1610 RAE LN, MADISON, WI 53711-3340
(608) 436-6329
Mailing address
1610 RAE LN, MADISON, WI 53711-3340
(608) 436-6329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175125-030
WI
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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