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Individual

CAMERON DITTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
703 TYLER ST STE 151, SANDUSKY, OH 44870-3392
(419) 627-0207
(419) 627-5599
Mailing address
1912 HAYES AVE STE 1E, SANDUSKY, OH 44870-4736
(419) 557-5541

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.135278
OH
207R00000X
Internal Medicine Physician
57.025257
OH
207RG0100X
Gastroenterology Physician
Primary
35.135278
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0405454
OH
Enumeration date
03/29/2014
Last updated
01/13/2022
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