Organization
EAR, NOSE AND THROAT OF MICHIANA P.C.
Active
Other names
Campbell Ear, Nose and Throat
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A CAMPBELL MD (PRESIDENT)
(574) 246-1000
Entity
Organization
Contact information
Practice address
209 FLORENCE AVENUE, GRANGER, IN 46530-8048
(574) 246-1000
(574) 246-4000
Mailing address
209 FLORENCE AVENUE, GRANGER, IN 46530-8048
(574) 246-1000
(574) 246-4000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01035158A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200485700A
—
IN
01
—
200717560A
FIRST STEPS-IN
IN
Enumeration date
10/31/2005
Last updated
03/30/2015
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