Individual
TODD GARRISON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18325 E 10 MILE RD, SUITE 200, ROSEVILLE, MI 48066-4990
(586) 773-6300
(586) 773-6266
Mailing address
18325 E 10 MILE RD, SUITE 200, ROSEVILLE, MI 48066-4990
(586) 773-6300
(586) 773-6266
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
TC075516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340018342
RAILROAD MEDICARE PIN
MI
01
—
3405009731
BCBSM
MI
05
—
4175785
—
MI
01
—
TC075516
LICENSE
MI
Enumeration date
04/25/2006
Last updated
04/15/2008
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