Organization
GREGORY L. CAMMELL, M.D.,PLC
Active
Organization
GREGORY L. CAMMELL, M.D.,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY L CAMMELL M.D. (PRESIDENT)
(616) 241-6380
Entity
Organization
Contact information
Practice address
4124 56TH ST SW, SUITE 2, WYOMING, MI 49418-9494
(616) 241-6380
(616) 608-5347
Mailing address
4124 56TH ST SW, SUITE 2, WYOMING, MI 49418-9494
(616) 241-6380
(616) 608-5347
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301058848
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D10737
BCBSM
MI
05
—
1467758987
—
MI
Enumeration date
01/31/2011
Last updated
01/19/2012
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