Provider Demographics
NPI:1902889710
Name:GALANG, LUIS C (DO)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:C
Last Name:GALANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:M
Other - Last Name:GALANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:800 1ST ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-4754
Mailing Address - Country:US
Mailing Address - Phone:715-261-8500
Mailing Address - Fax:715-261-8665
Practice Address - Street 1:800 1ST ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-4754
Practice Address - Country:US
Practice Address - Phone:715-261-8500
Practice Address - Fax:715-261-8671
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI44491207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43497900Medicaid
WI43497900Medicaid
WIH49201Medicare UPIN