Individual
CLARICE CALLAHAN MACMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503-2560
(616) 391-6243
Mailing address
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503-2560
(616) 391-6243
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
1356195952
MI
Other
Enumeration date
04/11/2024
Last updated
06/01/2025
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