Provider Demographics
NPI:1235178856
Name:GALANES, JANET ANN (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ANN
Last Name:GALANES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 CEDAR ST STE 405
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2059
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60101 BODNAR BLVD
Practice Address - Street 2:SUITE 100B
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46544-9328
Practice Address - Country:US
Practice Address - Phone:574-335-8500
Practice Address - Fax:574-335-0794
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01042981A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200096590Medicaid
IN200096590BMedicaid
IN000000265581OtherBCBS
IN200096590Medicaid
IN187670GMedicare PIN
IN000000621000OtherBCBS
IN200096590Medicaid