Individual
BENJAMIN MCCALLISTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 ELLIOTT DR, SUITE 203, YPSILANTI, MI 48197-8633
(734) 712-8000
(734) 712-4429
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 - LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301058673
MI
Other
Enumeration date
03/03/2006
Last updated
12/29/2016
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