Healthcare Provider Details

I. General information

NPI: 1487371027
Provider Name (Legal Business Name): RENEE MICHELLE CAMILLERI RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 FULLER RD
ANN ARBOR MI
48105-2303
US

IV. Provider business mailing address

667 SAINT MARYS AVE
MONROE MI
48162-2752
US

V. Phone/Fax

Practice location:
  • Phone: 734-222-8695
  • Fax: 734-845-3257
Mailing address:
  • Phone: 734-552-7362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: