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Individual
DR. SUMNER CAMISA
Active
Individual
DR. SUMNER CAMISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SC054195
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB0701
MEDICARE RAIL ROAD
MI
01
—
SC054195
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
11/03/2005
Last updated
05/20/2008
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