Individual
DR. DANIEL W CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
154 STATE ST, HARBOR BEACH, MI 48441-1203
(989) 479-6778
Mailing address
154 STATE ST, HARBOR BEACH, MI 48441-1203
(989) 479-6778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004955
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568930
—
MI
01
—
2301004995
MICHIGAN ID
MI
01
—
38 2539944
FEDERAL TAX ID
MI
01
—
95OC2500(30)
BCBS
MI
Enumeration date
11/01/2006
Last updated
07/09/2007
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