Individual
JOAN M VAN CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 PARK AVE, P5, MINNEAPOLIS, MN 55415-1623
(612) 873-2810
(612) 904-4297
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2810
(612) 904-4297
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40186
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223317700
—
MN
Enumeration date
06/11/2006
Last updated
08/29/2011
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