Individual
MARY E. CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3821 SPRING ST, RACINE, WI 53405-1667
(262) 687-8460
Mailing address
3821 SPRING ST, RACINE, WI 53405-1667
(262) 687-8460
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
784
WI
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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