| Mary K O'callaghan DO PC | |
|
922 Lawndale St Ludington MI 49431-1928 | |
| (231) 845-7380 | |
| Not Available |
| Full Name | Mary K O'callaghan DO PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 922 Lawndale St, Ludington, Michigan |
| Authorized Official Name and Position | Mary Keating O'callaghan (PHYSICIAN) |
| Authorized Official Contact | 2318457380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary K O'callaghan DO PC 922 Lawndale St Ludington MI 49431-1928 Ph: (231) 845-7380 | Mary K O'callaghan DO PC 922 Lawndale St Ludington MI 49431-1928 Ph: (231) 845-7380 |
| NPI Number | 1467650614 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467650614 | NPI | - | NPPES |
| 5530004 | Other | MI | BCBS # |
| DG2738 | Other | MI | MEDICARE RR GROUP |
| 2736118 | Medicaid | MI | |
| 1155300045 | Other | MI | BC GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 009391 (Michigan) | Primary |
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New Life Medical Senior Care PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 S Wildwood Xing Apt 20, Ludington, MI 49431 Phone: 231-233-1704 |
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