Provider Demographics
NPI:1053447540
Name:CAMPBELL, ROBERT FREDERICK (MD MPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:FREDERICK
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD MPH
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Other - First Name:
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Mailing Address - Street 1:5807 ROYAL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126
Mailing Address - Country:US
Mailing Address - Phone:651-486-0781
Mailing Address - Fax:
Practice Address - Street 1:3M CENTER BUILDING 220 6W 08
Practice Address - Street 2:
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55144
Practice Address - Country:US
Practice Address - Phone:651-737-4552
Practice Address - Fax:651-733-9066
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN36493207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine