Individual
CALLIE ANN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 E CAMPUS DR, MT PLEASANT, MI 48859-2033
(989) 774-2478
Mailing address
1280 E CAMPUS DR, MT PLEASANT, MI 48859-2033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5315222249
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
02/10/2020
Last updated
01/10/2021
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