Individual
DR. BRADLEY R CALOIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18101 OAKWOOD BLVD, EMERGENCY MEDICINE DPARTMENT, DEARBORN, MI 48124-4089
(313) 593-8780
(313) 436-2864
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3354
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102202294
VA
207P00000X
Emergency Medicine Physician
Primary
5101015016
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11452484
CAQH
—
05
—
1932187598
—
MI
05
—
1932187598
—
VA
Enumeration date
01/04/2006
Last updated
10/12/2011
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