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Individual

BRIAN E CAMILLERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2610 ENTERPRISE DR, ANDERSON, IN 46013-9684
(765) 683-4400
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02004616A
IN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
02004616A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
02004616A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201396880
IN
01
207610023
MEDICARE
IN
Enumeration date
01/21/2011
Last updated
12/11/2025
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