Individual
BRUCE KALLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
37595 7 MILE RD STE 370, LIVONIA, MI 48152
(248) 258-0001
(248) 258-6779
Mailing address
37595 W. SEVEN MILD RD, STE 370, LIVONIA, MI 48152
(248) 258-0001
(248) 258-6779
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002617
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002617
MI
Other
Enumeration date
04/01/2013
Last updated
09/29/2022
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