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NPI Code Detail

MEDICARE: ELIZABETH ANNE CALLAN PA

MEDICARE: ELIZABETH ANNE CALLAN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601005201MI

General Provider Information

NPI Number : 1366604894
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE CALLAN PA
Provider Business Mailing Address
First Line : 135 S PROSPECT ST
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-7914
Country : US
Telephone Number : 734-547-4900
Fax Number : 734-547-4901
Provider Business Practice Location Address
First Line : 135 S PROSPECT ST
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-7914
Country : US
Telephone Number : 734-547-4900
Fax Number : 734-547-4901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2008
Last Update Date : 06/03/2026

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Directions to “ ELIZABETH ANNE CALLAN PA” Practice Location

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