Individual
MR. STEVEN LEE GALLIWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2462 E HILL RD STE 2, GRAND BLANC, MI 48439-5427
(810) 584-7957
(949) 695-4951
Mailing address
2462 E HILL RD STE 2, GRAND BLANC, MI 48439-5427
(810) 584-7957
(949) 695-4951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601003407
MI
363AM0700X
Medical Physician Assistant
Primary
5601003407
MI
363AM0700X
Medical Physician Assistant
SG003407
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SG003407
BCBS
MI
Enumeration date
05/23/2006
Last updated
07/07/2024
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