Provider Demographics
NPI:1932422466
Name:GALANIS, FOTIOS G (RN)
Entity Type:Individual
Prefix:MR
First Name:FOTIOS
Middle Name:G
Last Name:GALANIS
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 1:15820 HILL CT
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-2217
Mailing Address - Country:US
Mailing Address - Phone:520-208-0117
Mailing Address - Fax:
Practice Address - Street 1:15820 HILL CT
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-2217
Practice Address - Country:US
Practice Address - Phone:520-208-0117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI152594-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse