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Contact Information

BRUCE KALLOU, DPM
4770 ROCHESTER STE 104
TROY, MI48085
 Phone: 248-689-5125
 Fax: 248-266-6200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRUCE KALLOU · (Male)

NPI # 1578806253
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/01/2013
Last updated 09/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5901002617
Hospital affiliation(s)
  • PROVIDENCE HOSPITAL AND MEDICAL CENTERS - (Acute Care)
    16001 W NINE MILE RD
    SOUTHFIELD, MI 48075
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
  • ST MARY MERCY HOSPITAL - (Acute Care)
    36475 FIVE MILE ROAD
    LIVONIA, MI 48154
  • WILLIAM BEAUMONT HOSPITAL - (Acute Care)
    3601 W THIRTEEN MILE RD
    ROYAL OAK, MI 48073
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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