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Individual
TODD GARRISON CAMPBELL
Active
Individual
TODD GARRISON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
TC075516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340018342
RAILROAD MEDICARE PIN
MI
01
—
3405009731
BCBSM
MI
05
—
4175785
—
MI
01
—
TC075516
LICENSE
MI
Enumeration date
04/25/2006
Last updated
04/15/2008
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