Individual
JENNIFER MCCALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 551-6689
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1070260
MI
363A00000X
Physician Assistant
Primary
5601004605
MI
Other
Enumeration date
06/13/2006
Last updated
11/08/2024
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