Individual
MAKINSEY CALISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-7541
Mailing address
4210 PEARSON DR, WESTFIELD, IN 46062-6125
(574) 721-1708
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IN
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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