Individual
MICHAEL T. CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8264
(269) 983-1238
Mailing address
1426 DESMOND ST, SAINT JOSEPH, MI 49085-9706
(269) 408-1184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003934
MI
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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