Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael David McCallister

Individual provider Nurse Practitioner · NPI 1174185771

Michael David McCallister is a Nurse Practitioner in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

3770 Glenkerry Ct
Portage, MI 49024-0700
Phone: (269) 329-2887
Fax: (269) 329-2805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704311437 (MI)

Record details

NPI number1174185771
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address8223 Glenwynd Dr, Kalamazoo, MI 49009-9680

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