Individual
MRS. CARRIE ANN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2047 NILES RD, SAINT JOSEPH, MI 49085-2505
(269) 983-3200
(269) 983-4902
Mailing address
2047 NILES RD, SAINT JOSEPH, MI 49085-2505
(269) 983-3200
(269) 983-4902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004349
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20065
MES
MI
01
—
928360
BLOCK
MI
Enumeration date
12/18/2006
Last updated
01/07/2009
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