Individual
ANDREW MICHAEL CAMPBELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
410 WILLIAMS ST, ARENA, WI 53503-9685
(608) 712-0773
Mailing address
W7995 DRAKE RD, POYNETTE, WI 53955-9786
(608) 635-2274
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94255-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39967300
—
WI
Enumeration date
05/17/2006
Last updated
07/09/2007
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