Organization
MICHELLE CALHOUN, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AQUARIUS BOUIER (ADMINISTRATOR)
(248) 967-3200
Entity
Organization
Contact information
Practice address
22100 GREENFIELD RD, OAK PARK, MI 48237-2550
(248) 967-3200
(248) 967-1387
Mailing address
22100 GREENFIELD RD, OAK PARK, MI 48237-2550
(248) 967-3200
(248) 967-1387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101012320
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101012320
LICENSE NUMBER
MI
01
—
56310495
BCBS PROVIDER NUMBER
MI
Enumeration date
03/20/2007
Last updated
03/07/2023
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