Organization
LUIS GABRIEL CAMERO, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS GABRIEL CAMERO M.D. (PRESIDENT)
(586) 777-8440
Entity
Organization
Contact information
Practice address
25810 KELLY RD, SUITE 1, ROSEVILLE, MI 48066-4467
(586) 777-8440
(586) 777-3805
Mailing address
25810 KELLY RD, SUITE 1, ROSEVILLE, MI 48066-4467
(586) 777-8440
(586) 777-3805
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
—
43010344441
MICHIGAN LICENSE
MI
Enumeration date
04/15/2010
Last updated
04/15/2010
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