Individual
DR. SUZANNE MARIE GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1675 LEAHY ST STE 201A, MUSKEGON, MI 49442-5542
(231) 672-6600
(231) 728-1719
Mailing address
1675 LEAHY ST STE 201A, MUSKEGON, MI 49442-5542
(231) 672-6600
(231) 728-1719
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036119867
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
4301500903
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
4301500903
STATE LICENSE
MI
01
—
F400274105
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
07/18/2007
Last updated
06/09/2023
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