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Individual

ROBERT D CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 8TH ST S, MOORHEAD, MN 56560-3604
(701) 234-3260
(701) 234-3286
Mailing address
PO BOX 2010, FARGO, ND 58122-0605

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20920
MN
207Q00000X
Family Medicine Physician
3497
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12170
ND
Enumeration date
07/18/2006
Last updated
01/06/2012
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