Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 016005379 | IL |
Y | 213ES0103X | Foot & Ankle Surgery | 98225 | WI |
NPI | 1063660751 |
---|---|
Provider Name | Dr. Amy Louise Galati |
First Address | Pewaukee, WI 53072-5546 |
Second Address | Pewaukee, WI 53072-5546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2008 |
Last Update Date | 05/08/2011 |