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Individual
REBECCA K. CAMPBELL
Active
Individual
REBECCA K. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53777
MN
208000000X
Pediatrics Physician
53777
MN
208M00000X
Hospitalist Physician
Primary
53777
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01066739A
PERMANENT LICENSE
IN
01
—
11013706A
MEDICAL RESIDENCY PERMIT
IN
Enumeration date
06/20/2007
Last updated
10/30/2015
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