Individual
MICHAEL DAVID MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3770 GLENKERRY CT, PORTAGE, MI 49024-0700
(269) 329-2887
(269) 329-2805
Mailing address
8223 GLENWYND DR, KALAMAZOO, MI 49009-9680
(269) 760-3434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704311437
MI
Other
Enumeration date
07/03/2019
Last updated
05/05/2021
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