Individual
DR. JOHN BENEDICT CALADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1639 E BIG BEAVER RD STE 202, TROY, MI 48083
(248) 606-4190
(248) 598-5088
Mailing address
1639 E BIG BEAVER RD STE 202, TROY, MI 48083-2054
(248) 606-4190
(248) 598-5088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101012319
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4085015
—
MI
01
—
MI9716
MEDICARE ID TYPE NONSPECIFIC
MI
Enumeration date
04/14/2006
Last updated
09/20/2019
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