MEDICARE: DR. WILLIAM B CAMM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01041961A	IN
2	207R00000X	Internal Medicine Physician	35042163	OH

General Provider Information

NPI Number	:	1013117944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM B CAMM MD

Provider Business Mailing Address
First Line	:	1 AMERICAN SQ
Second Line	:	BOX 368
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46206-0368
Country	:	US
Telephone Number	:	317-285-1049
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 AMERICAN SQ
Second Line	:	BOX 368
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46282-0020
Country	:	US
Telephone Number	:	317-285-1049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	11/24/2009

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