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Individual

MR. EVERETT W. CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7633 E JEFFERSON AVE, SUITE 340, DETROIT, MI 48214-3730
(313) 822-9801
(313) 822-1030
Mailing address
102 REGENTS DR, TROY, MI 48084-5421
(248) 362-4115

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
EC066609
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4542490
MI
Enumeration date
12/06/2006
Last updated
03/24/2011
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