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General NPI Number Information
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NPI Number | 1104636786
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Entity Type | Organization
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Legal Business Name | GALERA HEALTH AND WELLNESS, PLLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1107 STONE ST STE 2
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City | PORT HURON
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State | MI
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Zip | 48060-3569
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Country | US
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Telephone | 630-247-8838
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 STONE ST STE 2
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City | PORT HURON
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State | MI
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Zip | 48060-3569
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Country | US
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Telephone | 630-247-8838
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RIGEL GALERA
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Credential | MD
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Telephone | 630-247-8838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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