Provider Demographics
NPI:1083617849
Name:CAMERON, JAMES ADAIR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ADAIR
Last Name:CAMERON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3777 COON RAPIDS BLVD NW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-2630
Mailing Address - Country:US
Mailing Address - Phone:763-421-7420
Mailing Address - Fax:763-421-0730
Practice Address - Street 1:3777 COON RAPIDS BLVD NW
Practice Address - Street 2:SUITE 100
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433
Practice Address - Country:US
Practice Address - Phone:763-421-7420
Practice Address - Fax:763-421-0730
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2013-07-31
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Provider Licenses
StateLicense IDTaxonomies
MN24257207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA94112Medicare UPIN
MN1157570001Medicare NSC
MN1157570002Medicare NSC