Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 4301089364 | MI |
Y | 208800000X | Urologist | 4301089364 | MI |
NPI | 1629267042 |
---|---|
Provider Name | Anne Pelletier Cameron |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Brighton, MI 48116-9416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2007 |
Last Update Date | 06/12/2018 |