Individual
MARY LOUISE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CNM
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-4380
Mailing address
3800 WOODWARD AVE, SUITE 702, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704161149
MI
176B00000X
Midwife
4704191149
MI
367A00000X
Advanced Practice Midwife
Primary
4704161149
MI
Other
Enumeration date
06/01/2006
Last updated
11/28/2011
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