Laris Edgar Galejs M.D.

NPI 1053304600 - Urology - 208800000X

NPI Details
NPI 1053304600
Gender Male
Enumeration Date 08/30/2005
Last Updated 02/02/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
14800 FARMINGTON RD
SUITE 103
LIVONIA MI, 48154-5461, US
Phone (734) 261-7401
Fax (734) 261-7410
Business Location
20952 E 12 MILE RD
SUITE 200
SAINT CLAIR SHORES MI, 48081-3200, US
Phone (586) 771-4820
Fax (586) 771-6620
Toxanomy
Taxonomy Code 208800000X
License State Michigan
License Number 4301059576
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According to our database, Dr. Laris Edgar Galejs M.D. NPI is 1053304600, taxonomy code is 208800000X and license number is 4301059576, license state is located at Michigan. Laris Edgar Galejs M.D. physically located at 14800 Farmington Rd, Livonia MI, 48154-5461. NPI Number Laris Edgar Galejs M.D. has the Individual type.

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1053304600 NPI number is provided on an as is basis without warranty of any kind. 1053304600 is maintained by the National Plan & Provider Enumeration System. The contents of Laris Edgar Galejs M.D. are for informational purposes only.