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Search › Michigan › 171M00000X

Stu Mccallister

NPI 1114628542 · on the registry since 2023 · sole proprietor

Practice

Address
790 Fuller Ave Ne
Grand Rapids, MI 49503
Phone
(616) 481-6166
Organisation at this address
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
389

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan