Individual
DR. PETER G. KAMHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4601
Mailing address
250 N SHADELAND AVE, SUITE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(616) 975-1845
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01072186A
IN
207P00000X
Emergency Medicine Physician
Primary
35.122206
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301065615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930104151
RAILROAD MEDICARE
MI
Enumeration date
07/22/2006
Last updated
04/20/2018
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