Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35-04-6761 | OH |
NPI | 1003806886 |
---|---|
Provider Name | Dr. John Michael Gallagher |
First Address | Cincinnati, OH 45238-2057 |
Second Address | Cincinnati, OH 45238-2057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 07/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0526505 | (05) | OH |
D67760 | (02) | OH |