=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841189404
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GALEA FOOT AND ANKLE CENTER PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2025
-----------------------------------------------------
Last Update Date | 08/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2407 VINSETTA BLVD
-----------------------------------------------------
City | ROYAL OAK
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48073-3337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-561-4024
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2407 VINSETTA BLVD
-----------------------------------------------------
City | ROYAL OAK
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48073-3337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-561-4024
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PETER GALEA
-----------------------------------------------------
Credential | DPM
-----------------------------------------------------
Telephone | 248-561-4024
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------