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Individual

DR. VERN J CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
932 SPRING ST, SUITE 101, PETOSKEY, MI 49770-2855
(231) 487-5315
Mailing address
932 SPRING ST, SUITE 101, PETOSKEY, MI 49770-2855
(231) 487-5315

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
VC059657
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4549885
MI
Enumeration date
06/21/2006
Last updated
05/19/2008
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