Provider Demographics
NPI:1295178739
Name:GALECKI, PAWEL ANDRZEJ (MD)
Entity Type:Individual
Prefix:DR
First Name:PAWEL
Middle Name:ANDRZEJ
Last Name:GALECKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PAUL
Other - Middle Name:ANDREW
Other - Last Name:GALECKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8001 PEBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6201
Mailing Address - Country:US
Mailing Address - Phone:734-999-0269
Mailing Address - Fax:734-212-6953
Practice Address - Street 1:30901 PALMER RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186
Practice Address - Country:US
Practice Address - Phone:734-999-0269
Practice Address - Fax:734-212-6953
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011035952084P0800X, 261QU0200X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care