Individual
MR. KEITH EDWARD CALLEWAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
48301 TONAWONDA DR, MACOMB, MI 48044
(586) 524-6757
Mailing address
48301 TONAWONDA DR, MACOMB, MI 48044-5575
(586) 524-6757
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
3201011305
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704273227
MI
Other
Enumeration date
04/24/2016
Last updated
07/05/2018
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