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Organization

MICHIGAN HEART PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENJAMIN D. MCCALLISTER JR. M.D. (PRESIDENT)
(734) 712-8000
Entity
Organization

Contact information

Practice address
5325 ELLIOTT DR, SUITE 201, YPSILANTI, MI 48197-8633
(734) 712-8000
(734) 712-4319
Mailing address
5325 ELLIOTT DR, SUITE 201, YPSILANTI, MI 48197-8633
(734) 712-8000
(734) 712-4319

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207RC0000
MI

Other

Enumeration date
05/11/2006
Last updated
01/02/2008
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