Individual
DONALD A CAMPBELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11270 E 13 MILE RD, SUITE 4, WARREN, MI 48093-2599
(586) 574-0630
(586) 574-0636
Mailing address
11270 E 13 MILE RD, SUITE 4, WARREN, MI 48093-2599
(586) 574-0630
(586) 574-0636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301046758
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500014
BCBSM PIN
MN
01
—
700E031610
BCBSM GROUP NUMBER
MI
Enumeration date
08/09/2005
Last updated
04/30/2014
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