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Callie Ann Hart

Physician Assistant in Mt Pleasant, MI. Individual provider (NPI-1).

NPI number1104458942
StatusActive
Last updated in NPPESJan 10, 2021

Details

NPI
1104458942
Entity type
Individual (NPI-1)
Name
Callie Ann Hart
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 10, 2020
Certification date
Jan 10, 2021
Last updated
Jan 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5315222249MIYes
390200000X Student in an Organized Health Care Education/Training Program–MI

Practice location

1280 E Campus Dr
Mt Pleasant, MI 48859-2033

Phone 989-774-2478

Mailing address

1280 E Campus Dr
Mt Pleasant, MI 48859-2033

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