Individual
DR. MARK A KALLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 E CHICAGO ST, COLDWATER, MI 49036-2086
(517) 278-8871
(517) 278-6053
Mailing address
PO BOX 307, COLDWATER, MI 49036-0307
(517) 278-8861
(517) 278-6053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301053693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4396777
—
MI
Enumeration date
05/11/2006
Last updated
02/19/2009
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