Moneta Caliston MD

NPI 1619120516 - Pediatrics - 208000000X

NPI Details
NPI 1619120516
Gender Female
Enumeration Date 10/23/2008
Last Updated 02/11/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
31115 DEQUINDRE RD
MADISON HEIGHTS MI, 48071-1566, US
Phone (248) 307-1772
Fax (248) 307-1609
Business Location
31115 DEQUINDRE RD
MADISON HEIGHTS MI, 48071-1566, US
Phone (248) 307-1772
Fax (248) 307-1609
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 5315036384
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According to our database, Moneta Caliston MD NPI is 1619120516, taxonomy code is 208000000X and license number is 5315036384, license state is located at Michigan. Moneta Caliston MD physically located at 31115 Dequindre Rd, Madison Heights MI, 48071-1566. NPI Number Moneta Caliston MD has the Individual type.

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1619120516 NPI number is provided on an as is basis without warranty of any kind. 1619120516 is maintained by the National Plan & Provider Enumeration System. The contents of Moneta Caliston MD are for informational purposes only.