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Individual

JOHN N CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1676 VIEWPOND DR SE, SUITE 100A, KENTWOOD, MI 49508-4994
(616) 455-9450
(616) 455-5221
Mailing address
1676 VIEWPOND DR SE STE 100A, KENTWOOD, MI 49508-4994
(616) 455-9450
(616) 455-5221

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
034105
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
4301034105
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1076881
MI
01
1598853608
GROUP NPI
01
382161547
TAX ID
MI
Enumeration date
05/19/2006
Last updated
08/06/2025
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