Individual
DR. MICHAEL PETER CAMPEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
661 E. MAIN ST., FREMONT, MI 49412
(231) 924-2320
(231) 924-1518
Mailing address
661 E. MAIN ST., FREMONT, MI 49412
(231) 924-2320
(231) 924-1518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018633
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381908328
DENTAL HEALTH ALLIANCE
—
01
—
381908328020
DENTAL BLUE
—
05
—
4527190
—
MI
01
—
88096MI
WADSWORTH
—
01
—
88123MI
BAYSIDE
—
01
—
88170MI
OUTER DRIVE
—
01
—
88171MI
COMMERCE
—
01
—
D801095
BLUE CROSS
—
01
—
O1493248
UNITED CONCORDIA
—
Enumeration date
10/11/2005
Last updated
08/09/2010
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