Individual
MARY A CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22821 ORCHARD LAKE RD, FARMINGTON, MI 48336-3230
(248) 615-6600
(248) 615-6605
Mailing address
41600 RAYBURN DR, NORTHVILLE, MI 48168-2080
(734) 934-2579
(248) 615-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301076620
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301076620
PHYSICIAN LICENSE
MI
Enumeration date
05/18/2006
Last updated
05/18/2015
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