Mark A Gallagher D.O.

NPI 1164416954 - Surgery - 208600000X

NPI Details
NPI 1164416954
Gender Male
Enumeration Date 09/07/2005
Last Updated 05/23/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
295 MAPLE ST
SUITE 200
TAWAS CITY MI, 48763-9352, US
Phone (989) 984-3788
Fax
Business Location
295 MAPLE ST
SUITE 200
TAWAS CITY MI, 48763-9352, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State Michigan
License Number MG010486
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According to our database, Dr. Mark A Gallagher D.O. NPI is 1164416954, taxonomy code is 208600000X and license number is MG010486, license state is located at Michigan. Mark A Gallagher D.O. physically located at 295 Maple St, Tawas City MI, 48763-9352. NPI Number Mark A Gallagher D.O. has the Individual type.

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1164416954 NPI number is provided on an as is basis without warranty of any kind. 1164416954 is maintained by the National Plan & Provider Enumeration System. The contents of Mark A Gallagher D.O. are for informational purposes only.