Individual
DR. MICHAEL CORY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MAPLE AVE, HONESDALE, PA 18431-1459
(570) 253-8219
(570) 253-8242
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8226
(570) 253-8228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22599
WV
207Q00000X
Family Medicine Physician
MD434864
PA
2084P0800X
Psychiatry Physician
22599
WV
2084P0800X
Psychiatry Physician
Primary
MD434864
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102403507
—
PA
Enumeration date
05/04/2007
Last updated
12/28/2016
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