Healthcare Provider Details

I. General information

NPI: 1326487190
Provider Name (Legal Business Name): MICHAEL CALLANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 SAM PERRY BLVD STE 400
FREDERICKSBURG VA
22401
US

IV. Provider business mailing address

PO BOX 419699
BOSTON MA
02241-9699
US

V. Phone/Fax

Practice location:
  • Phone: 540-741-2871
  • Fax:
Mailing address:
  • Phone: 540-741-1041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMT203620
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME139862
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberME139862
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number0101285131
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: