Provider Demographics
NPI:1013117944
Name:CAMM, WILLIAM B (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:CAMM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1 AMERICAN SQ
Mailing Address - Street 2:BOX 368
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-0368
Mailing Address - Country:US
Mailing Address - Phone:317-285-1049
Mailing Address - Fax:
Practice Address - Street 1:1 AMERICAN SQ
Practice Address - Street 2:BOX 368
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46282-0020
Practice Address - Country:US
Practice Address - Phone:317-285-1049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01041961A207R00000X
OH35042163207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine