Healthcare Provider Details

I. General information

NPI: 1285843672
Provider Name (Legal Business Name): MICHAEL URBAN CALLAGHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BEAUBIEN ST
DETROIT MI
48201-2119
US

IV. Provider business mailing address

430 MILLER AVE
ROCHESTER MI
48307-2256
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-5515
  • Fax:
Mailing address:
  • Phone: 248-608-0965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number01-082493
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: