Provider Demographics
NPI:1497041172
Name:CALIGIURI, CHARLOTTE JEAN (DO)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:JEAN
Last Name:CALIGIURI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28565 SCHOENHERR RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4330
Mailing Address - Country:US
Mailing Address - Phone:586-576-4140
Mailing Address - Fax:586-576-4146
Practice Address - Street 1:28565 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4330
Practice Address - Country:US
Practice Address - Phone:586-576-4140
Practice Address - Fax:586-576-4146
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA249370208800000X
MI5101021451208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology