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Individual

REBECCA K. CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53777
MN
208000000X
Pediatrics Physician
53777
MN
208M00000X
Hospitalist Physician
Primary
53777
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01066739A
PERMANENT LICENSE
IN
01
11013706A
MEDICAL RESIDENCY PERMIT
IN
Enumeration date
06/20/2007
Last updated
10/30/2015
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