Individual
CALLIE SEYBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4200 WHITEHALL DR STE 150, ANN ARBOR, MI 48105-9694
(734) 995-0308
(734) 995-0425
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601009007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601009007
MICHIGAN LICENSE
MI
Enumeration date
03/05/2019
Last updated
04/07/2020
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