Provider Demographics
NPI:1154785913
Name:GALLAGHER, JAMES PATRICK II (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:GALLAGHER
Suffix:II
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:
Practice Address - Street 1:IHA PRIMARY CARE GENOA
Practice Address - Street 2:2305 GENOA BUSINESS PARK DRIVE
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114
Practice Address - Country:US
Practice Address - Phone:810-494-6840
Practice Address - Fax:810-494-6841
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2023-04-24
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Provider Licenses
StateLicense IDTaxonomies
OH34.013706207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine