Individual
VANESSA VIVIAN CALABRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
818 RIVERSIDE AVE, ADRIAN, MI 49221-1446
(517) 265-0900
Mailing address
818 RIVERSIDE AVE, ADRIAN, MI 49221-1446
(517) 265-0900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02007549A
IN
207P00000X
Emergency Medicine Physician
Primary
5101021264
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101021264
PHYSICIAN LICENSE
MI
01
—
5315066355
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
06/11/2014
Last updated
12/29/2023
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