Provider Demographics
NPI:1376703868
Name:GALDES, TODD LOUIS (DO)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:LOUIS
Last Name:GALDES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:TODD
Other - Middle Name:L
Other - Last Name:GALDES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:4045 W ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-8965
Mailing Address - Country:US
Mailing Address - Phone:248-766-8097
Mailing Address - Fax:231-935-0308
Practice Address - Street 1:4045 W ROYAL DR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-8965
Practice Address - Country:US
Practice Address - Phone:248-766-8097
Practice Address - Fax:231-935-0308
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA69117207XS0114X
MI5101017784207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIM00980032Medicare UPIN