Individual
SARAH C CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1506 S. ONEIDA STREET, PEDIATRICS, APPLETON, WI 54915-1569
(920) 730-4950
Mailing address
1506 S. ONEIDA STREET, PEDIATRICS, APPLETON, WI 54915-1569
(920) 730-4950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301083413
MI
208000000X
Pediatrics Physician
Primary
45366
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829560001
MEDICARE DME
MI
01
—
0C16002
MEDICARE GROUP
—
05
—
104654657
—
MI
05
—
35388600
—
WI
01
—
SC083413
BLUE CROSS STATE ID
MI
Enumeration date
08/14/2006
Last updated
11/30/2011
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