Individual
CAMERON MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
8766 RED PINE DR, LAKE ANN, MI 49650-9708
(231) 357-7177
Mailing address
8766 RED PINE DR, LAKE ANN, MI 49650-9708
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001906
MI
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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