Provider Demographics
NPI:1508039389
Name:E. GEORGE GALSTERER, D.O.,PC
Entity Type:Organization
Organization Name:E. GEORGE GALSTERER, D.O.,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:GALSTERER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:989-753-7739
Mailing Address - Street 1:1236 N MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4728
Mailing Address - Country:US
Mailing Address - Phone:989-753-7739
Mailing Address - Fax:
Practice Address - Street 1:1236 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4728
Practice Address - Country:US
Practice Address - Phone:989-753-7739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006387207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1412939Medicaid
MI5733138Medicare PIN
MI1412939Medicaid