Dr. Michael Douglas Callan
Pediatric Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
2070 Biddle Ave Suite 200
Wyandotte
, Michigan 48192-4080
Dr. Michael Douglas Callan
Pediatric Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
2070 Biddle Ave Suite 200
Wyandotte
, Michigan 48192-4080
(734) 391-3052
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Douglas Callan
- 1640 Fort Street Suite D Attn Denise
- Trenton, MI
- Zip : 48183
- Fax : (734) 391-3052
- Phone : (734) 391-3057
Second Address
- Dr. Michael Douglas Callan
- 2070 Biddle Ave Suite 200
- Wyandotte, MI
- Zip : 48192-4080
- Fax : (734) 225-9176
- Phone : (734) 225-9100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | 5101016780 | MI |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 5101016780 | MI |
National Provider Identifier
| NPI | 1568671964 |
|---|---|
| Provider Name | Dr. Michael Douglas Callan |
| First Address | Trenton, MI 48183 |
| Second Address | Wyandotte, MI 48192-4080 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 21/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0H28427 | BLUE CROSS (01) | MI |
| 1699102244 | GROUP NPI HENRY FORD WYANDOTTE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.