Sultana-Gallick, Marilynn

Sultana-Gallick, Marilynn is an individual health care provider with primary practice located at 29753 Hoover Rd Ste A, Warren MI 48093-8900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Sultana-Gallick, Marilynn can be contacted via phone (586) 573-4333.

Contact Information

Primary practice address
29753 Hoover Rd Ste A Warren MI 48093-8900
Phone: (586) 573-4333
Fax: (586) 573-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301047297 Michigan

Profile Details

NPI number 1366445769
LBN Legal business name Sultana-Gallick, Marilynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366445769 NPPES
Michigan MEDICAID 3336110
Michigan Other 1805005281
Michigan MEDICAID 33361100

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