BRUCE KALLOU (NPI# 1578806253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578806253 |
| Entity Type | Individual |
| Full Name | BRUCE KALLOU |
| Credential | DPM |
| Practice Address |
37595 7 Mile Rd Ste 370 Livonia MI 48152 |
| Mailing Address |
37595 W. Seven Mild Rd Ste 370 Livonia MI 48152 |
| Practice Telephone | 2482580001 |
| Practice Fax Number | 2482586779 |
| Mailing Telephone | 2482580001 |
| Mailing Fax Number | 2482586779 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002617 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0 | IL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4770 Rochester Rd Ste 104, Troy, MI 480854951 | 2486895125 | 2486895688 |
| Street Address |
37595 7 MILE RD STE 370 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447448337 | Joshua Sean Faley | Podiatrist | 14555 Levan Road, Suite E-302, Livonia, MI 48154 | 2007-10-04 |
| 1053399949 | Stacey Ann Stefansky | Podiatrist | 10986 Middlebelt Rd, Livonia, MI 48150-3058 | 2006-01-03 |
| 1366709636 | Matthew Larry German | Podiatrist | 37595 7 Mile Rd, Suite 370, Livonia, MI 48152-1003 | 2012-04-11 |
| 1336419670 | Ankle & Foot Care Specialists Pllc | Podiatrist | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2012-01-04 |
| 1144453770 | Community Foot Center PC | Podiatrist | 31450 7 Mile Rd, Livonia, MI 48152-1374 | 2009-08-31 |
| 1942479654 | David A Friedman Dpm PC | Podiatrist | 37672 Professional Center Dr, Suite 150b, Livonia, MI 48154-1154 | 2008-02-27 |
| 1013185214 | Peter F Gregory | Podiatrist | 17316 Farmington Rd, Livonia, MI 48152-3158 | 2008-02-11 |
| 1891864971 | Livonia Foot Surgeons PC | Podiatrist | 28477 7 Mile Rd, Livonia, MI 48152-3501 | 2006-11-06 |
| 1487730305 | David A Friedman | Podiatrist | 37672 Professional Center Dr, 150 B, Livonia, MI 48154-1154 | 2006-10-31 |
| 1225035397 | Peter Paul Galea | Podiatrist | 14555 Levan Rd, Ste E302, Livonia, MI 48154-5083 | 2005-07-05 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.