Organization
ABRAHAM CAMPBELL, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM L CAMPBELL D.O. (OWNER)
(906) 789-1954
Entity
Organization
Contact information
Practice address
3409 LUDINGTON ST, SUITE 206, ESCANABA, MI 49829-4212
(609) 789-1954
Mailing address
3409 LUDINGTON ST, SUITE 206, ESCANABA, MI 49829-4212
(609) 789-1954
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101014306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252113845
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
104995727
—
MI
01
—
DG0068
RAIL ROAD MEDICARE
GA
Enumeration date
03/16/2007
Last updated
07/16/2008
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