Marysue Galetka, CRDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

A6136 Issued in MN

Practice address

1789 Woodlane Dr
Suite D
Woodbury, MN 55125-3910

Phone

(651) 459-6884

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woodgrove Dental PA

  • General Practice Dentistry
  • Woodbury, MN
  • NPI 1356539993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558466326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8384 INGLESIDE AVE SOUTH",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162025",
            "telephone_number": "651-459-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 WOODLANE DR",
            "address_2": "SUITE D",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253910",
            "telephone_number": "651-459-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALETKA",
        "first_name": "MARYSUE",
        "name_prefix": "Mrs.",
        "credential": "CRDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MN",
            "license": "A6136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Future Health LLC
• Anne Marie Gabriel, PT
• Lisa Marie Gabrielson
• Brian J Gahlon, DPT, CSCS
• Mureithi Gakuo, LMFT
• Mia Rose Galvin
• Natalia Gamboa
• Erika Gansler
• Amelia Gapp
• Michelle Garay, APRN, CNP

• Dental Assistant in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Dental Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.