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Individual

DR. LUIS GABRIEL CAMERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1181
(586) 447-8021
(586) 447-8022
Mailing address
23715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1181
(586) 447-8021
(586) 447-8022

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301034441
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1575219
MI
01
3305000291
BCBSM
MI
01
70101A
HEALTH ALLIANCE PLAN
MI
01
P41778
BLUE CARE NETWORK
MI
Enumeration date
08/20/2006
Last updated
11/25/2014
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