Individual
CALEB CHRISTIAN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201-2153
(313) 745-7233
Mailing address
19833 S GLEN BLVD, BROWNSTOWN TWP, MI 48183-4907
(517) 575-5318
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101026918
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2018
Last updated
02/13/2023
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