Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301099406 | MI |
N | 208600000X | Surgeon | 4301099406 | MI |
Y | 2086S0129X | Vascular Surgeon | 4301099406 | MI |
NPI | 1164557252 |
---|---|
Provider Name | Katherine A. Gallagher |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 27/02/2012 |