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1235926106 NPI number — MEGAN ELIZABETH CALLAGHAN-VANDERWALL MD

NPI Number: 1235926106
Health Care Provider/Practitioner: MEGAN ELIZABETH CALLAGHAN-VANDERWALL MD

Information about “1235926106” NPI (MEGAN ELIZABETH CALLAGHAN-VANDERWALL MD) exists in 1235926106 in HTML format HTML  |  1235926106 in plain Text format TXT  |  1235926106 in PDF (Portable Document Format) PDF  |  1235926106 in an XML format XML  formats.

NPI Number : 1235926106 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235926106",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CALLAGHAN-VANDERWALL",
    "FirstName": "MEGAN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CALLAGHAN",
    "OtherFirstName": "MEGAN",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1500 E MEDICAL CENTER DR. SPC 5368",
    "SecondLineMailingAddress": "3116 TAUBMAN CENTER",
    "MailingAddressCityName": "ANN ARBOR",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-845-5290",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2215 FULLER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANN ARBOR",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48105-2303",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-845-5290",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/23/2025",
    "LastUpdateDate": "05/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": "4351053894",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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