Organization
KAMIL ORTHOPAEDIC GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A KAMIL M.D. (PRESIDENT)
(248) 661-4700
Entity
Organization
Contact information
Practice address
6621 W MAPLE RD, W BLOOMFIELD, MI 48357
(248) 661-4700
(248) 661-6210
Mailing address
6621 W MAPLE RD, W BLOOMFIELD, MI 48357
(248) 661-4700
(248) 661-6210
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
43010LL043767
MI
207X00000X
Orthopaedic Surgery Physician
Primary
43010MK045030
MI
207X00000X
Orthopaedic Surgery Physician
43010MM059872
MI
225100000X
Physical Therapist
5501004058
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0635205
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/22/2007
Last updated
06/13/2008
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