Individual
CHARLES L MACCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5778 DARROW RD, SUITE D, HUDSON, OH 44236-3808
(330) 655-2161
(330) 650-2116
Mailing address
5778 DARROW RD STE 201, HUDSON, OH 44236-3808
(330) 655-2161
(330) 650-2116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35040856M
OH
Other
Enumeration date
08/24/2005
Last updated
12/22/2020
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