Individual
STANLEY C GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 ORCHARD DR, SISSETON, SD 57262-2312
(605) 698-7681
(605) 698-3493
Mailing address
205 ORCHARD DR, SISSETON, SD 57262-2312
(605) 698-7681
(605) 698-3493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23330
MN
207Q00000X
Family Medicine Physician
Primary
3948
SD
207Q00000X
Family Medicine Physician
3994
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123343
MEDICA
MN
01
—
1001189
PREFERRED ONE
MN
01
—
106824
UCARE
MN
05
—
123088300
—
MN
05
—
17531
—
ND
05
—
53440220
—
SD
01
—
HP21653
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
05/29/2025
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