Individual
JOEL ANDREW CALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1680
Mailing address
2537 MOMENTUM PL, CHICAGO, IL 60689-5325
(616) 975-1845
(616) 285-0846
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301101765
MI
207P00000X
Emergency Medicine Physician
ME98530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780887158
—
MI
05
—
278387800
—
FL
01
—
92258
BCBS OF FLORIDA
FL
Enumeration date
06/06/2007
Last updated
07/23/2013
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