Provider Demographics
NPI:1720033640
Name:GONZALEZ-CAMPOY, JOSEPH MICHAEL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:GONZALEZ-CAMPOY
Suffix:
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:1185 TOWN CENTRE DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123-1187
Mailing Address - Country:US
Mailing Address - Phone:651-379-1600
Mailing Address - Fax:651-379-1650
Practice Address - Street 1:1185 TOWN CENTRE DR
Practice Address - Street 2:SUITE 220
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55123-1187
Practice Address - Country:US
Practice Address - Phone:651-379-1600
Practice Address - Fax:651-379-1650
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2016-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN35393207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN212885300Medicaid
MN26497OtherAMERICA'S PPO
MN3300123OtherSELECT CARE
MN553S5GOOtherBLUE CROSS BLUE SHIELD
MNP00104365OtherRR MEDICARE
MN244291014657OtherPREFERRED ONE
MN0587055OtherIOWA MEDICAL ASSISTANCE
MN3300123OtherMEDICA
MNHP18432OtherHEALTHPARTNERS
MNF46741Medicare UPIN
MNF46741Medicare UPIN