Individual
EMILY GALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 E WILCOX AVE, WHITE CLOUD, MI 49349-8794
(231) 689-5943
(231) 689-1590
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 876-6527
(231) 876-6519
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704297341
MI
363LG0600X
Gerontology Nurse Practitioner
4704297341
MI
Other
Enumeration date
09/18/2023
Last updated
11/27/2023
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