Healthcare Provider Details

I. General information

NPI: 1942207931
Provider Name (Legal Business Name): ROBERT PETER CAMARA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 BYRON RD
HOWELL MI
48843-1007
US

IV. Provider business mailing address

1200 BYRON RD
HOWELL MI
48843-1007
US

V. Phone/Fax

Practice location:
  • Phone: 517-546-0200
  • Fax: 517-546-4669
Mailing address:
  • Phone: 517-546-0200
  • Fax: 517-546-4669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101013444
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: