Healthcare Provider Details

I. General information

NPI: 1679625875
Provider Name (Legal Business Name): DAYONE FAMILY HEALTHCARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 02/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 FREMONT ST SUITE 203
BATTLE CREEK MI
49017-3389
US

IV. Provider business mailing address

363 FREMONT ST SUITE 203
BATTLE CREEK MI
49017-3389
US

V. Phone/Fax

Practice location:
  • Phone: 269-969-6123
  • Fax: 269-969-6122
Mailing address:
  • Phone: 269-969-6123
  • Fax: 269-969-6122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRUCE WEBER GALONSKY
Title or Position: VICE PRESIDENT
Credential: M.D.
Phone: 269-969-6123