Individual
DR. MICHAEL JOSEPH CALICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
(734) 655-1271
Mailing address
1630 MEADOWSIDE DR, ANN ARBOR, MI 48104-4264
(734) 477-0766
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301055910
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4198912
—
MI
01
—
OH21725
BLUE SHIELD
MI
01
—
P80259
BLUE CARE NETWORK
MI
Enumeration date
06/23/2006
Last updated
07/08/2007
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