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Contact Information

RYAN P GALLAGHER, PA-C
4602 EASTPARK BLVD
MADISON, WI53718-2002
 Phone: 608-263-7540
 Fax: 608-662-4545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RYAN P GALLAGHER · (Male)

NPI # 1871091207
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/31/2018
Last updated 02/26/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 4294
Hospital affiliation(s)
  • BEAVER DAM COM HSPTL - (Acute Care)
    707 S UNIVERSITY AVE
    BEAVER DAM, WI 53916
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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