Doctor Name: | VINOO CAMERON |
NPI Number: | 1265532931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 22097 |
Business Practice Address: | 704 Pine St. Athens, WI - 544110186 |
Business Phone Number: | 7152579900 |
Business Fax Number: | 7152577575 |
Mailing Address: | Po Box 186, ATHENS |
State: | WI |
Postal Code: | 544110186 |
Phone Number: | 7152579900 |
Fax Number: | 7152577575 |
NPI Enumeration Date: | 09/23/2006 |
NPI Last Update Date: | 07/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 22097 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |