Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 17002 | WV |
NPI | 1003837717 |
---|---|
Provider Name | John Patrick Galey |
First Address | Manistique, MI 49854-8992 |
Second Address | Manistique, MI 49854-8992 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 23/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0097735000 | (05) | WV |
F32168 | (02) | WV |