Individual
JONATHAN EDWARD CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7410
(414) 805-7499
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7410
(414) 805-7499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
57583
WI
207X00000X
Orthopaedic Surgery Physician
57583-20
WI
207X00000X
Orthopaedic Surgery Physician
60169
MN
Other
Enumeration date
03/29/2011
Last updated
07/21/2022
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