Individual
DR. ROGER DEAN KAMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1310 CRAMER CIRCLE, PENNOCK 506, BIG RAPIDS, MI 49307-2738
(231) 591-2222
(231) 591-3991
Mailing address
1310 CRAMER CIRCLE, PENNOCK 506, BIG RAPIDS, MI 49307-2738
(231) 591-2222
(231) 591-3991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0784610001014
ADMINISTAR
MI
05
—
2806099
—
MI
01
—
RK003601
BLUE CROSS
MI
Enumeration date
08/07/2006
Last updated
07/08/2007
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