Individual
MR. MICHAEL DUANE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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
Update your record
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