Individual
LISA ANNE GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
560 W MITCHELL ST, SUITE 185, PETOSKEY, MI 49770-2275
(231) 487-3478
(231) 487-3578
Mailing address
560 W MITCHELL ST, SUITE 185, PETOSKEY, MI 49770-2275
(231) 487-3478
(231) 487-3578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5101013888
MI
207RH0003X
Hematology & Oncology Physician
Primary
5101013888
MI
Other
Enumeration date
11/30/2005
Last updated
01/17/2013
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