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NPI Code Detail

MEDICARE: DR. DAVID M KAM MD

MEDICARE: DR. DAVID M KAM 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
1208600000XSurgery Physician4301056275MI

General Provider Information

NPI Number : 1518981679
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M KAM MD
Provider Business Mailing Address
First Line : 1221 SIXTH ST STE 300
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2360
Country : US
Telephone Number : 231-935-2400
Fax Number : 231-935-2424
Provider Business Practice Location Address
First Line : 1221 SIXTH ST SUITE 300
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2236
Country : US
Telephone Number : 231-935-2400
Fax Number : 231-392-2424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 04/02/2021

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