Individual
CAMILLE HELENA KOTERBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 COOPER AVE STE 4400, SAGINAW, MI 48602-5182
(989) 583-0000
Mailing address
705 HOYT AVE, SAGINAW, MI 48607-1751
(989) 533-8480
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
30413
OK
208600000X
Surgery Physician
Primary
4301047374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060014865
RAILROAD MEDICARE
MI
01
—
0983489
HEALTHPLUS
MI
01
—
1000528
PRIORITY HEALTH
MI
01
—
1006851
MCLAREN HEALTH PLAN
MI
05
—
1538105556
—
MI
01
—
700B960280
BCBS
MI
01
—
M020860
CHAMPVA
—
Enumeration date
06/20/2006
Last updated
05/17/2023
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