Individual
LOUISA CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MA
Contact information
Practice address
5635 W FORT ST, DETROIT, MI 48209-3154
(313) 849-3920
Mailing address
5635 W FORT ST, DETROIT, MI 48209-3154
(210) 260-6768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301511774
MI
Other
Enumeration date
06/03/2021
Last updated
09/20/2024
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