Healthcare Provider Details

I. General information

NPI: 1104636786
Provider Name (Legal Business Name): GALERA HEALTH AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 STONE ST STE 2
PORT HURON MI
48060-3569
US

IV. Provider business mailing address

1107 STONE ST STE 2
PORT HURON MI
48060-3569
US

V. Phone/Fax

Practice location:
  • Phone: 630-247-8838
  • Fax:
Mailing address:
  • Phone: 630-247-8838
  • Fax:

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 Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RIGEL GALERA
Title or Position: OWNER
Credential: MD
Phone: 630-247-8838