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MR. MICHAEL DUANE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2601 FOX RUN PKWY, YANKTON, SD 57078-5341
(605) 665-5100
(605) 665-5200
Mailing address
307 WALNUT ST, SUITE C, YANKTON, SD 57078-4361
(605) 664-5050
(605) 664-5051

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R014863
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
028203
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040296
WELLMARK BLUE CROSS BLUE
05
02058492200
NE
01
2002926
MEDICA
05
204788800
MN
01
23163
SANFORD HEALTH PLAN
SD
01
241494
MIDLANDS CHOICE
05
5750212
SD
01
P00046848
RAILROAD
SD
01
R014863
DAKOTACARE
Enumeration date
06/09/2006
Last updated
05/19/2008
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