Individual
CALLAN J WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1375 W GREEN ST, SUITE 1, HASTINGS, MI 49058-1718
(269) 945-7497
(269) 945-0214
Mailing address
1375 W GREEN ST, SUITE 1, HASTINGS, MI 49058-1718
(269) 945-7497
(269) 945-0214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704279395
MI
Other
Enumeration date
12/03/2015
Last updated
05/10/2023
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