Individual
GALYNA CLOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301504752
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4301504752
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
86209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100369722
—
WI
Enumeration date
03/31/2015
Last updated
10/21/2025
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