Individual
CAMERON GREGORY SIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4040 BEACON ST, KINGSLEY, MI 49649-9548
(231) 633-1574
Mailing address
10981 DYLAN DR, INTERLOCHEN, MI 49643-9175
(231) 633-1574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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