Individual
JESSICA M CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
20 S 10TH ST, GLADSTONE, MI 49837-1526
(906) 420-8322
(906) 420-8315
Mailing address
20 S 10TH ST, GLADSTONE, MI 49837-1526
(906) 420-8322
(906) 420-8315
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4551373
—
MI
05
—
4551382
—
MI
05
—
4551391
—
MI
Enumeration date
11/30/2005
Last updated
10/20/2011
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