Individual
DR. BRUCE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5580
(414) 805-8324
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5580
(414) 805-8324
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24073
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000111V
HUMANA
—
05
—
1952353484
—
WI
Enumeration date
05/16/2006
Last updated
11/15/2012
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