Provider Demographics
NPI:1245763135
Name:MCCALLISTER, ERIC MICHAEL (DPM)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MICHAEL
Last Name:MCCALLISTER
Suffix:
Gender:
Credentials:DPM
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:29099 HEALTH CAMPUS DR STE 290
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5280
Mailing Address - Country:US
Mailing Address - Phone:440-243-6660
Mailing Address - Fax:844-270-2783
Practice Address - Street 1:29099 HEALTH CAMPUS DR STE 290
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5280
Practice Address - Country:US
Practice Address - Phone:440-243-6600
Practice Address - Fax:844-270-2783
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.003965213ES0103X
OH36.003965213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery