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Individual

DR. L FERDINAND GALANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
47705
WI
207W00000X
Ophthalmology Physician
5101014815
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000039155
MEDICARE GROUP NUMBER
WI
05
2092585
MI
05
43539300
WI
Enumeration date
03/27/2006
Last updated
10/07/2020
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