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1174185771
MICHAEL DAVID MCCALLISTER
PORTAGE, MI
NPI
1174185771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704311437)
Enumeration Date
2019-07-03
Last Update Date
2021-05-05
Business Address
MICHAEL DAVID MCCALLISTER
3770 GLENKERRY CT
PORTAGE, MI 49024-0700
Phone number: 269-329-2887
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Mailing Address
MICHAEL DAVID MCCALLISTER
8223 GLENWYND DR
KALAMAZOO, MI 49009-9680
Phone number: 269-760-3434
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