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Individual

ANDREW D CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, B1 FLOOR CANCER AND GERIATRICS CTR RECP B, ANN ARBOR, MI 48109-0910
(734) 936-9814
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301080862
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301080862
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4447259
MI
Enumeration date
08/08/2006
Last updated
11/01/2011
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