Provider Demographics
NPI:1417624289
Name:DR. WILLIAM D. CAMPBELL
Entity Type:Organization
Organization Name:DR. WILLIAM D. CAMPBELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-358-7582
Mailing Address - Street 1:5555 METROPOLITAN PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4102
Mailing Address - Country:US
Mailing Address - Phone:586-977-8888
Mailing Address - Fax:
Practice Address - Street 1:5555 METROPOLITAN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4102
Practice Address - Country:US
Practice Address - Phone:586-977-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental