Individual
TIMOTHY JAMES CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7988 W COUNTY ROAD 350 N, SAINT PAUL, IN 47272-9783
(217) 841-4500
Mailing address
202 S MEADOWHILL LN, MAHOMET, IL 61853-8521
(217) 586-2564
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28132356A
IN
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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