Provider Demographics
NPI:1861637266
Name:GALLOWAY, DUANE ARTHUR (RN)
Entity Type:Individual
Prefix:MR
First Name:DUANE
Middle Name:ARTHUR
Last Name:GALLOWAY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26739 TROWBRIDGE SQ
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48164-8960
Mailing Address - Country:US
Mailing Address - Phone:734-654-9881
Mailing Address - Fax:
Practice Address - Street 1:26739 TROWBRIDGE SQ
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:MI
Practice Address - Zip Code:48164-8960
Practice Address - Country:US
Practice Address - Phone:734-654-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-13
Last Update Date:2008-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704233336163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health