Individual
IAN-THOMAS CAMPBELL-GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4700
(952) 993-7313
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4700
(952) 993-7313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11653
MN
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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