Individual
THOMAS GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-1135
(262) 574-8000
Mailing address
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-1135
(262) 574-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22363
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30440100
—
WI
Enumeration date
02/13/2006
Last updated
11/15/2011
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