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Individual

SEAN GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9500 EUCLID AVE # A21, CLEVELAND, OH 44195-1423
(216) 296-3737
Mailing address
9500 EUCLID AVE # L10, CLEVELAND, OH 44195-1423
(216) 296-3737

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34.014449
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34.014449
STATE MEDICAL BOARD
OH
01
58.007098
STATE MEDICAL BOARD
OH
Enumeration date
04/01/2015
Last updated
06/02/2020
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