Individual
DR. JAMES RANDALL GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
416 CONNABLE AVE, NORTHERN MICHIGAN HOSPITAL, PETOSKEY, MI 49770-2212
(231) 487-4520
(231) 487-7723
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4520
(231) 487-7723
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101014037
MI
207P00000X
Emergency Medicine Physician
Primary
5101014037
MI
207P00000X
Emergency Medicine Physician
A-1193-02
NM
Other
Enumeration date
04/03/2006
Last updated
10/10/2019
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