Organization
MARK A KALLUS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A KALLUS MD (PHYSICIAN)
(517) 278-8871
Entity
Organization
Contact information
Practice address
360 E CHICAGO ST, SUITE 111, COLDWATER, MI 49036-2086
(517) 278-8871
(517) 278-6053
Mailing address
PO BOX 307, COLDWATER, MI 49036-0307
(517) 278-8871
(517) 278-6053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4396777
—
MI
Enumeration date
01/23/2007
Last updated
02/04/2010
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