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Individual

DR. MICHAEL LYLE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD35428
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200046165
RAILROAD MEDICARE
TN
05
3866234
TN
01
4017788
BLUE CROSS BLUE SHIELD
TN
01
TN01A7
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/14/2006
Last updated
06/20/2017
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