Individual
JUDITH MARY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 S MINNESOTA ST, NORTH VALLEY HEALTH CENTER, WARREN, MN 56762-1428
(218) 745-4211
(218) 745-4215
Mailing address
201 SHERWOOD AVE N, THIEF RIVER FALLS, MN 56701-2614
(218) 681-0384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MN
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STATE LICENCE NUMBER
40238
MN
01
—
STATE LICENCE NUMBER
7874
ND
Enumeration date
07/09/2006
Last updated
07/08/2007
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