Provider Demographics
NPI:1467658062
Name:BARTE, FELISE MAY GALANO (MD)
Entity Type:Individual
Prefix:
First Name:FELISE MAY
Middle Name:GALANO
Last Name:BARTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:30150 TELEGRAPH RD STE 271
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4521
Mailing Address - Country:US
Mailing Address - Phone:248-395-5166
Mailing Address - Fax:248-395-5170
Practice Address - Street 1:24241 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1801
Practice Address - Country:US
Practice Address - Phone:313-561-7255
Practice Address - Fax:313-561-6137
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA121145207W00000X
MI4301092713207WX0009X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist