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Individual

CALVIN PATTAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4514 FOREST EDGE LN, WEST BLOOMFIELD, MI 48323-2182
(248) 761-9800
Mailing address
4514 FOREST EDGE LN, WEST BLOOMFIELD, MI 48323-2182
(248) 761-9800

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9274009
MICHIGAN PROVIDER NUMBER
MI
Enumeration date
08/26/2022
Last updated
01/30/2026
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