Search › Wisconsin › 2085R0202X
Jacob Mccallum, DO
NPI 1194210492 · on the registry since 2018
Practice
- Address
- 8430 Market St Apt 118
Middleton, WI 53562 - Phone
- (612) 328-1583
- Clinicians at this address
- 2
Additional practice sites
- 221 Michigan St Ne Ste 402, Grand Rapids, MI
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
- Licence states on file
- MI, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-23
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 Wisconsin