Individual
PATRICIA L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-0000
Mailing address
929 PORTLAND AVE APT 2102, MINNEAPOLIS, MN 55404-1271
(260) 437-7187
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
10000455A
IN
363AM0700X
Medical Physician Assistant
Primary
11267
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970025208
MEDICARE RAILROAD
IN
Enumeration date
08/10/2005
Last updated
01/28/2013
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