Benjamin Mccallister JR. MD

NPI 1053388595 - Specialist - 174400000X

NPI Details
NPI 1053388595
Gender Male
Enumeration Date 03/03/2006
Last Updated 01/23/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
5325 ELLIOTT DR
SUITE 203
YPSILANTI MI, 48197-8633, US
Phone (734) 712-8000
Fax (734) 712-4429
Business Location
5325 ELLIOTT DR
SUITE 203
YPSILANTI MI, 48197-8633, US
Phone (734) 712-8000
Fax (734) 712-4429
Toxanomy
Taxonomy Code 174400000X
License State Michigan
License Number 4301058673
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According to our database, Benjamin Mccallister JR. MD NPI is 1053388595, taxonomy code is 174400000X and license number is 4301058673, license state is located at Michigan. Benjamin Mccallister JR. MD physically located at 5325 Elliott Dr, Ypsilanti MI, 48197-8633. NPI Number Benjamin Mccallister JR. MD has the Individual type.

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1053388595 NPI number is provided on an as is basis without warranty of any kind. 1053388595 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Mccallister JR. MD are for informational purposes only.