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Individual

DR. MATTHEW J CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
405 MOMANY DR, SAINT JOSEPH, MI 49085-2178
(269) 928-1947
(269) 982-1950
Mailing address
405 MOMANY DR, SAINT JOSEPH, MI 49085-2178
(269) 928-1947
(269) 982-1950

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301080141
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080191091
RAIL ROAD MEDICARE
05
444169410
MI
Enumeration date
02/14/2006
Last updated
03/07/2023
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