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Individual

JAMES W GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1414 W FAIR AVE, SUITE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 228-9371
Mailing address
1414 W FAIR AVE, SUITE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 228-9371

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901001221
MI
213ES0000X
Sports Medicine Podiatrist
5901001221
MI
213ES0131X
Foot Surgery Podiatrist
5901001221
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5210682
MI
Enumeration date
06/21/2005
Last updated
06/24/2014
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