Individual
RANDALL J CAMMENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3161
(574) 523-3221
Mailing address
3371 CLEVELAND ROAD EXT, SUITE 210, SOUTH BEND, IN 46628-9780
(574) 271-2558
(574) 273-1137
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01041177
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082225
AANTHEM
IN
Enumeration date
07/29/2005
Last updated
03/20/2008
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