Individual
DR. ALEXANDER JAMES GALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
036.142095
IL
207ZP0101X
Anatomic Pathology Physician
Primary
70567
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
70567
WI
207ZP0213X
Pediatric Pathology Physician
70567
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780023101
—
WI
Enumeration date
06/19/2013
Last updated
02/04/2022
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