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Individual

MS. DIANNA GALVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2150 GETTLER ST STE 260, DYER, IN 46311-2381
(219) 934-9822
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002223A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200948830
IN
01
47141199
MEDICARE PTAN
IN
Enumeration date
07/21/2009
Last updated
03/19/2021
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