Provider Demographics
NPI:1649603663
Name:GALOVSKA, STEFANIJA P (PA)
Entity type:Individual
Prefix:
First Name:STEFANIJA
Middle Name:P
Last Name:GALOVSKA
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:STEFANIA
Other - Middle Name:P
Other - Last Name:NIKOLOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:TRINITY HEALTH IHA MEDICAL GROUP NEUROSURGERY
Practice Address - Street 2:44555 WOODWARD AVE SUITE 305
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341
Practice Address - Country:US
Practice Address - Phone:248-858-3812
Practice Address - Fax:248-858-3815
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601008281363A00000X, 363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical