SHADIA LYNN GALLAGHER

GRAND RAPIDS, MI
NPI1457908626
Former NameSHADIA RANGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704307419)
Enumeration Date2019-08-22
Last Update Date2024-11-07
Business Address
SHADIA LYNN GALLAGHER NP
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-5609
Phone number: 616-391-2778
Mailing Address
SHADIA LYNN GALLAGHER NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: