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Individual

DR. MITCHEL LEWIS GALISHOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21 MEDICAL PARK, VALLEY, AL 36854-3665
(334) 756-4156
(334) 756-8181
Mailing address
21 MEDICAL PARK, VALLEY MEDICAL SURGICAL CLINIC, VALLEY, AL 36854-3665
(334) 756-4156
(334) 756-8181

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101043335
VA
207R00000X
Internal Medicine Physician
043619
GA
207R00000X
Internal Medicine Physician
Primary
17338
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000594382A
GA
05
529202520
AL
Enumeration date
01/24/2006
Last updated
05/08/2012
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