Healthcare Provider Details

I. General information

NPI: 1306817721
Provider Name (Legal Business Name): ANNE LOUISE GALLION MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE LOUISE MOSER MD

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 FOUNTAIN ST
ALBERT LEA MN
56007-2406
US

IV. Provider business mailing address

PO BOX 860912
MINNEAPOLIS MN
55486-0912
US

V. Phone/Fax

Practice location:
  • Phone: 507-373-2384
  • Fax:
Mailing address:
  • Phone: 507-284-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number44744
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number32964
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number40318
License Number StateMN
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number40318
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: