Whalio Doctors

NPI 1154321107

Randall J Cammenga, MD

Practitioner Emergency Medical Services (Emergency Medicine) Physician Elkhart, IN

Practice location

Address
600 East Blvd, Elkhart, IN 46514-2483
Phone
(574) 523-3161
Fax
(574) 523-3221
Mailing address
3371 Cleveland Road Ext Suite 210, South Bend, IN 46628-9780

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 01041177 (IN)

Registry record

NPI
1154321107
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Jul 2005
Record last updated
20 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.