Individual
MR. JOHN MICHAEL CALLAN
Active
Individual
MR. JOHN MICHAEL CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C. O.
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
07329800
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346428992
TRICARE
CO
01
—
5491920001
MEDICARE SUPPLIER
CO
05
—
77100069
—
CO
Enumeration date
07/26/2006
Last updated
11/20/2014
Update your record
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