MICHELLE CALHOUN, D.O., P.C.
Osteopathic Medicine at Greenfield Rd, Detroit, MI

License number
Michigan 5101012320
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: AQUARIUS BOUIER
Title: ADMINISTRATOR
Phone: (248) 967-3200
Address
Address
22100 Greenfield Rd, Detroit, MI 48237
National Provider ID: 1851416929
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHELLE CALHOUN, D.O., PC

Detroit, MI

Registration:
Nov 21, 2006
Addresses:
22100 Greenfield, Oak Park, MI 48237 (Physical)
Michigan (Mailing)
State ID:
00312V
Business type:
Domestic Professional Service Corporation
Agent:
Aquarius Bouier

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