Individual
CALLISTUS UMELOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4350 DIXIE HWY, WATERFORD, MI 48329-3506
(248) 674-0466
Mailing address
47450 ELLERY LN, CANTON, MI 48187-0078
(734) 272-8892
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5351016697
MI
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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