Individual
GARRETT CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
781 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 252-4100
(616) 252-4953
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101024374
MI
207Q00000X
Family Medicine Physician
OT015956
PA
Other
Enumeration date
06/04/2014
Last updated
08/08/2018
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