| Doctor Name: | MICHAEL D GALLIP |
| NPI Number: | 1346448206 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 18 Hawthorne Ln Metropolis, IL - 629604301 |
| Business Phone Number: | 6186384459 |
| Business Fax Number: | |
| Mailing Address: | 18 Hawthorne Ln, METROPOLIS |
| State: | IL |
| Postal Code: | 629604301 |
| Phone Number: | 6186384459 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471V0105X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Vascular Sonography |
| Taxonomy Definition: | |