Individual
DR. BRUCE M CAMITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN, MILWAUKEE, WI 53226-3518
(414) 456-4170
(414) 456-6543
Mailing address
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN, MILWAUKEE, WI 53226-3518
(414) 456-4170
(414) 456-6543
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
19850
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000111U
HUMANA
—
05
—
30148300
—
WI
Enumeration date
05/12/2006
Last updated
08/16/2011
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