Individual
CAMERON RISMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
5304731992
MI
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
65512
MN
2084P0800X
Psychiatry Physician
Primary
4301108076
MI
Other
Enumeration date
06/25/2015
Last updated
11/17/2022
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