Provider Demographics
NPI:1265733786
Name:GALT, DARCY LYNN
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:LYNN
Last Name:GALT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 SCHOFIELD AVE
Mailing Address - Street 2:SUTE 110
Mailing Address - City:WESTON
Mailing Address - State:WI
Mailing Address - Zip Code:54476-2300
Mailing Address - Country:US
Mailing Address - Phone:715-241-8100
Mailing Address - Fax:715-241-8102
Practice Address - Street 1:2405 SCHOFIELD AVE
Practice Address - Street 2:SUTE 110
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-2300
Practice Address - Country:US
Practice Address - Phone:715-241-8100
Practice Address - Fax:715-241-8102
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist