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Individual

SUSAN C GALBRAITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Mailing address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35070085
OH
207RN0300X
Nephrology Physician
44502
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000005832
ANTHEM
05
0286248
OH
01
3100162
UHC
OH
01
310821503
TAX ID
01
310821503037
CARE SOURCE
01
3108215037C18
UMW
01
390DD4744
MEDICARE RR
01
657942
AETNA
Enumeration date
11/18/2005
Last updated
06/01/2010
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