Male or Other

Dr. Gregory B. Mccallum MD

Family Medicine Physician in Redwood Falls, MN(View on Map)

Full Name

Dr. Gregory B Mccallum MD

NPI Number

1689642282

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/09/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

34641

Contact
Information

Purpose

Mailing
Location

Address

1100 EAST BROADWAY
1100 EAST BROADWAY

City

Redwood Falls
Redwood Falls

State

MN
MN

Postal Code

56283
56283

Country

US
US

Telephone Number

(507) 637-2985
(507) 637-2985

Identifiers

Identifier

950365000

Identifier State

MN

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

gmccallum436973@direct.centracare.com

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
gmccallum436973@direct.centracare.com

Affiliation

N

Endpoint Location

1100 East BroadwayRedwood Falls, MN56283US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/28/2024

Provider Address

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