Individual
DR. JOHN A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 392-0640
Mailing address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301111387
MI
207T00000X
Neurological Surgery Physician
E5233
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427153329
—
MI
05
—
165079001
—
AR
Enumeration date
09/14/2006
Last updated
10/26/2020
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