Individual
DAVID LEROY CAMENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
31440
MN
2084N0400X
Neurology Physician
31720-020
WI
2084N0400X
Neurology Physician
ME 93547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287508000
—
MN
05
—
32753000
—
WI
05
—
38724800
—
WI
Enumeration date
09/27/2007
Last updated
09/27/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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