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Contact Information

CAMERON PATTHANACHAROENPHON, MD
14650 E OLD US HIGHWAY 12 STE 104
CHELSEA, MI48118-1801
 Phone: 734-593-5700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CAMERON PATTHANACHAROENPHON · (Male)

NPI # 1073834339
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2010
Last updated 05/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301096531
Hospital affiliation(s)
  • CHELSEA COMMUNITY HOSPITAL - (Acute Care)
    775 S MAIN ST
    CHELSEA, MI 48118
  • SAINT MARY'S HEALTH CARE - (Acute Care)
    200 JEFFERSON AVENUE SE
    GRAND RAPIDS, MI 49503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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