Dr. Peter Calderon
Oral and Maxillofacial Surgeon
12000 E 12 Mile Rd
Warren
, Michigan 48093-3570
Dr. Peter Calderon
Oral and Maxillofacial Surgeon
12000 E 12 Mile Rd
Warren
, Michigan 48093-3570
(586) 576-4140
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Peter Calderon
- 12000 E 12 Mile Rd
- Warren, MI
- Zip : 48093-3570
- Phone : (586) 576-4140
Second Address
- Dr. Peter Calderon
- 12000 E 12 Mile Rd
- Warren, MI
- Zip : 48093-3570
- Phone : (586) 576-4140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2901019906 | MI |
National Provider Identifier
| NPI | 1053576587 |
|---|---|
| Provider Name | Dr. Peter Calderon |
| First Address | Warren, MI 48093-3570 |
| Second Address | Warren, MI 48093-3570 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2008 |
| Last Update Date | 24/07/2008 |
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.