Provider Demographics
NPI:1366812828
Name:MCDOUGALL, CAMERON MICHAEL (MD, FRCS(C))
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:MICHAEL
Last Name:MCDOUGALL
Suffix:
Gender:M
Credentials:MD, FRCS(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 S SAGINAW ST # 4800
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2677
Mailing Address - Country:US
Mailing Address - Phone:248-525-1788
Mailing Address - Fax:
Practice Address - Street 1:4800 S SAGINAW ST # 4800
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2677
Practice Address - Country:US
Practice Address - Phone:248-525-1788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5034207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ5034OtherTEXAS