Organization
NORTH CENTRAL NEUROLOGY, LLC
Active
Other names
John A Galea, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE GALEA MEDICAL ASSISTANT (OFFICE MANAGER)
(574) 288-0215
Entity
Organization
Contact information
Practice address
621 MEMORIAL DR, SUITE 624, SOUTH BEND, IN 46601-1063
(574) 288-0215
(574) 288-0158
Mailing address
621 MEMORIAL DR, SUITE 624, SOUTH BEND, IN 46601-1063
(574) 288-0215
(574) 288-0158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01030000
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357987
ANTHEM
IN
05
—
100261570
—
IN
Enumeration date
02/15/2007
Last updated
08/03/2009
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