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Organization
TIMOTHY G. O'CALLAGHAN, D.O. P.C.
Active
Organization
TIMOTHY G. O'CALLAGHAN, D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY GERARD O'CALLAGHAN D.O. (PHYSICIAN)
(231) 845-7380
Entity
Organization
Contact information
Practice address
922 LAWNDALE ST, LUDINGTON, MI 49431-1928
(231) 845-7380
Mailing address
922 LAWNDALE ST, LUDINGTON, MI 49431-1928
(231) 845-7380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009392
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080E31000
BC GROUP
MI
05
—
2736092
—
MI
01
—
CD6343
MEDICARE RR GROUP
MI
Enumeration date
07/10/2007
Last updated
03/07/2023
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