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NPI Code Detail

MEDICARE: STANLEY C GALLAGHER DO

MEDICARE: STANLEY C GALLAGHER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician3948SD
2207Q00000XFamily Medicine Physician23330MN
3207Q00000XFamily Medicine Physician3994ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2HP21653OTHERMNHEALTHPARTNERS
30123343OTHERMNMEDICA
41001189OTHERMNPREFERRED ONE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7106824OTHERMNUCARE

General Provider Information

NPI Number : 1831125657
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY C GALLAGHER DO
Provider Business Mailing Address
First Line : 205 ORCHARD DR
Second Line :
City : SISSETON
State : SD
Zip : 57262-2312
Country : US
Telephone Number : 605-698-7681
Fax Number : 605-698-3493
Provider Business Practice Location Address
First Line : 205 ORCHARD DR
Second Line :
City : SISSETON
State : SD
Zip : 57262-2312
Country : US
Telephone Number : 605-698-7681
Fax Number : 605-698-3493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 05/29/2025

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1841296555 — MRS. LISA M BUCKLIN CNP
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1285632398 — MRS. JUDY C BEUMER MD
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1881668911 — JOSEPH PATRICK RILEY DO
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1770514390 — DR. DAVID T MEADOWS M.D.
Practice Location Address:
205 ORCHARD DR
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Directions to “ STANLEY C GALLAGHER DO” Practice Location

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